Provider Demographics
NPI:1780791780
Name:OLIVIER, ROBIN KAYE
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:KAYE
Last Name:OLIVIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13900 HULL STREET RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2004
Mailing Address - Country:US
Mailing Address - Phone:804-639-8788
Mailing Address - Fax:
Practice Address - Street 1:CHESTERFIELD COUNTY PUBLIC SCHOOLS
Practice Address - Street 2:13900 HULL STREET RD.
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112
Practice Address - Country:US
Practice Address - Phone:804-639-8788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202002115235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA159487808OtherTRICARE (CHAMPUS)
VA230392OtherALLIANCE NETWORK
VA11123OtherCARENET
VA259332OtherSOUTHERN HEALTH
VA375729503OtherTRICARE (CHAMPUS)
VA230394OtherALLIANCE NETWORK
VA3822946OtherCIGNA PPO
VA54-1507199OtherUNITED HEALTHCARE
VA49-7877-3Medicaid
VA195246OtherBCBS
VA271538OtherALLIANCE NETWORK