Provider Demographics
NPI:1790135945
Name:ROBISON, VICTORIA SCOTT (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:SCOTT
Last Name:ROBISON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:LANE
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:VICTORIA SCOTT
Mailing Address - Street 1:600 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:BOONEVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38829-3218
Mailing Address - Country:US
Mailing Address - Phone:662-416-4096
Mailing Address - Fax:
Practice Address - Street 1:1402 GARTLAND AVE STE 4
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-2753
Practice Address - Country:US
Practice Address - Phone:615-551-4042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ 7548235Z00000X
TN9146235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist