Provider Demographics
NPI:1538390968
Name:ACHS, ROBERT T (SLP)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:T
Last Name:ACHS
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 UPLAND DR SE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403-4224
Mailing Address - Country:US
Mailing Address - Phone:319-550-1404
Mailing Address - Fax:
Practice Address - Street 1:1795 HIGHWAY 64 E
Practice Address - Street 2:
Practice Address - City:ANAMOSA
Practice Address - State:IA
Practice Address - Zip Code:52205-2112
Practice Address - Country:US
Practice Address - Phone:319-481-6327
Practice Address - Fax:319-481-6306
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7840235Z00000X
IA001989235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA001989OtherSTATE OF IOWA
09146181OtherAMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
MN150000061Medicare PIN