Provider Demographics
NPI:1962711028
Name:ROBINSON, ANNA MILLER (MSP, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MILLER
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MSP, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:WALHALLA
Mailing Address - State:SC
Mailing Address - Zip Code:29691-0116
Mailing Address - Country:US
Mailing Address - Phone:864-710-8383
Mailing Address - Fax:
Practice Address - Street 1:195 LEGENDARY HILL TRL
Practice Address - Street 2:
Practice Address - City:TAMASSEE
Practice Address - State:SC
Practice Address - Zip Code:29686-2134
Practice Address - Country:US
Practice Address - Phone:864-710-8383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4734235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist