Provider Demographics
NPI:1962727412
Name:ROBINS, KENDRA M (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:KENDRA
Middle Name:M
Last Name:ROBINS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21811 WILDWOOD PARK RD
Mailing Address - Street 2:#621
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5864
Mailing Address - Country:US
Mailing Address - Phone:281-750-9057
Mailing Address - Fax:
Practice Address - Street 1:21811 WILDWOOD PARK RD
Practice Address - Street 2:#621
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5864
Practice Address - Country:US
Practice Address - Phone:281-750-9057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-28
Last Update Date:2010-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103686235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist