Provider Demographics
NPI:1710366331
Name:DONNELLY, ROBIN C (BC-HIS)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:C
Last Name:DONNELLY
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 KIPLING ST STE 306
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-5832
Mailing Address - Country:US
Mailing Address - Phone:303-947-9887
Mailing Address - Fax:303-567-8384
Practice Address - Street 1:710 KIPLING ST STE 306
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-5832
Practice Address - Country:US
Practice Address - Phone:303-947-9887
Practice Address - Fax:303-567-8384
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO285237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist