Individual
JENNIFER ROBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6512 AUTUMN LANDING CT, CHESTER, VA 23831-7812
(413) 531-5888
Mailing address
6512 AUTUMN LANDING CT, CHESTER, VA 23831-7812
(413) 531-5888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005325
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202005325
STATE LICENSURE
VA
Enumeration date
09/20/2007
Last updated
12/04/2012
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