Provider Demographics
NPI:1265522486
Name:GLASSER, ROBIN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:
Last Name:GLASSER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20802 CABRILLO WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1201
Mailing Address - Country:US
Mailing Address - Phone:561-470-0740
Mailing Address - Fax:561-470-5080
Practice Address - Street 1:20802 CABRILLO WAY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1201
Practice Address - Country:US
Practice Address - Phone:561-929-0900
Practice Address - Fax:561-470-5080
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 3596235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist