Individual
MRS. GALE LANDIS ROBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
613 S. FAYETTEVILLE ST., LIBERTY, NC 27298-0906
(336) 963-1246
(336) 626-5736
Mailing address
PO BOX 906, LIBERTY, NC 27298-0906
(336) 963-1246
(336) 626-5736
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6616
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1099Q
BCBS
NC
05
—
3403407
—
NC
Enumeration date
04/04/2007
Last updated
06/13/2011
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