Individual
ROBIN RODRIGUEZ-HIGGINBOTTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
215 E CHEROKEE ST, WAGONER, OK 74467
(918) 485-5998
(918) 201-7015
Mailing address
PO BOX 232, WAGONER, OK 74477-0232
(918) 485-5998
(918) 201-7015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3241
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200343320A
—
OK
05
—
200632630B
—
OK
Enumeration date
07/12/2011
Last updated
06/12/2018
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