Provider Demographics
NPI:1548434855
Name:DIGIACOMO, ROBIN KAY (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:KAY
Last Name:DIGIACOMO
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4202 SIENNA PL
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-9231
Mailing Address - Country:US
Mailing Address - Phone:404-606-6752
Mailing Address - Fax:
Practice Address - Street 1:1314 COMMERCE DR STE B
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2287
Practice Address - Country:US
Practice Address - Phone:252-341-9944
Practice Address - Fax:252-439-0957
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12762235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1548434855Medicaid