Robin Kennedy Thames, MCD, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Prattville, AL

NPI 1487028593 · NPPES record last updated Dec 1, 2015

Key facts

NPI
1487028593
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3833 (AL)
Practice address
1614 Ashwood Dr
Prattville, AL 36066-3627
Phone
(334) 224-3397
NPI assigned
Dec 1, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3833 AL Yes

Addresses

Primary practice location

1614 Ashwood Dr
Prattville, AL 36066-3627

Mailing address

1614 Ashwood Dr
Prattville, AL 36066-3627
Phone (334) 224-3397

Other providers in Prattville, AL

All providers in Prattville, AL · Speech-Language Pathologist in Alabama

Sources for this page

Verify at the official NPI Registry.