Individual
COURTNEY MICHELLE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1230 BRIDGE ST, LOWELL, MA 01850-1291
(978) 459-7711
Mailing address
98 BOW ST APT 2, MEDFORD, MA 02155-6545
(401) 241-3643
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
76509
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76509
MASSACHUSSETTS STATE LICENSE
MA
Enumeration date
06/20/2017
Last updated
06/20/2017
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