Provider Demographics
NPI:1487908695
Name:ROBB, NAN W
Entity type:Individual
Prefix:MRS
First Name:NAN
Middle Name:W
Last Name:ROBB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14764 RAPOLLA DR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-3312
Mailing Address - Country:US
Mailing Address - Phone:610-613-9181
Mailing Address - Fax:
Practice Address - Street 1:14764 RAPOLLA DR
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-3312
Practice Address - Country:US
Practice Address - Phone:610-613-9181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-09
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist