Individual
MS. LATERRIAN MARIE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2395 WALL ST SE, STE 170, CONYERS, GA 30013-6703
(205) 602-2337
Mailing address
115 BOWEN WAY, COVINGTON, GA 30016-3434
(205) 602-2337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007761
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123817B
—
GA
Enumeration date
04/06/2012
Last updated
08/25/2016
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