Organization
SUMMIT THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LAVAR ROBINSON M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(208) 219-0876
Entity
Organization
Contact information
Practice address
113 EAST AVE. F, JEROME, ID 83338
(208) 324-2443
Mailing address
113 E AVENUE F, JEROME, ID 83338-3132
(208) 324-2443
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
SLP-2226
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255599585
—
ID
05
—
1639433352
—
ID
Enumeration date
10/22/2014
Last updated
10/22/2014
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