Most Relevant Information
Provider Data
| NPI Number: | 1003037748 |
| Provider Name: | THERESA MARIE ROBINSON MS-CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP001909 |
Most Important Dates
| Enumeration Date: | 05/01/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
770 BACONSFIELD DR BLDG 1
MACON
GA
312111496
Practice Location Phone/Fax
| Phone: | 4788412772 |
| Fax: | 4788412644 |
Provider Mailing Location
770 BACONSFIELD DR BLDG 1
MACON
GA
312111496
Provider Mailing Phone/Fax
| Phone: | 4788412772 |
| Fax: | 4788412644 |