Provider Demographics
NPI:1538852496
Name:ROBBINS, MADISON CLARY (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:CLARY
Last Name:ROBBINS
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 1:704 WATERFORD LN
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-7600
Mailing Address - Country:US
Mailing Address - Phone:205-454-4166
Mailing Address - Fax:
Practice Address - Street 1:205 HADLEIGH DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-9741
Practice Address - Country:US
Practice Address - Phone:765-585-0397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14426692235Z00000X
SC9101235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist