Provider Demographics
NPI:1730223546
Name:ROBINSON, JACQUELINE GATTI
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:GATTI
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JACQUELINE
Other - Middle Name:GATTI
Other - Last Name:TRULUCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:540 S COLLEGE AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-1302
Mailing Address - Country:US
Mailing Address - Phone:302-831-7100
Mailing Address - Fax:302-831-7101
Practice Address - Street 1:540 S COLLEGE AVE STE 102
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-1302
Practice Address - Country:US
Practice Address - Phone:302-831-7100
Practice Address - Fax:302-831-7101
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE01-0000678235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist