Provider Demographics
NPI:1174856314
Name:BENDER, ROBIN L (BS,MS)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:L
Last Name:BENDER
Suffix:
Gender:F
Credentials:BS,MS
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:L
Other - Last Name:AMBROSIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS,MS
Mailing Address - Street 1:123 N CONGRESS AVE # A
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-5118
Mailing Address - Country:US
Mailing Address - Phone:561-364-8991
Mailing Address - Fax:561-364-5245
Practice Address - Street 1:123 N CONGRESS AVE # A
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-5118
Practice Address - Country:US
Practice Address - Phone:561-364-8991
Practice Address - Fax:561-364-5245
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1407231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist