Provider Demographics
NPI:1548300353
Name:ROBINSON, ERIKA V
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:V
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:VONTRECYE
Other - Last Name:HEARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4979 TADMORE LN
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-2237
Mailing Address - Country:US
Mailing Address - Phone:404-551-0222
Mailing Address - Fax:770-696-3022
Practice Address - Street 1:1835 SAVOY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-1072
Practice Address - Country:US
Practice Address - Phone:678-298-9484
Practice Address - Fax:678-826-4033
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP006022235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
10034815OtherAMERIGROUP
305487OtherWELLCARE
251913439OtherAETNA
251913439OtherBCBS
GA440163644AMedicaid
440163644DOtherPEACHSTATE