# SUMMIT THERAPY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811391626
- **Authorized official:** MR. ROBERT LAVAR ROBINSON M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (208) 219-0876

## Contact information

- **Practice address:** 113 EAST AVE. F, JEROME, ID 83338
- **Practice address phone:** (208) 324-2443
- **Mailing address:** 113 E AVENUE F, JEROME, ID 83338-3132
- **Mailing address phone:** (208) 324-2443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | SLP-2226 | ID | Yes |

## Other

- **Enumeration date:** 10/22/2014
- **Last updated:** 10/22/2014