PHYLLIS MARY ROBERTSON (NPI# 1972076818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972076818 |
| Entity Type | Individual |
| Full Name | PHYLLIS MARY ROBERTSON |
| Credential | BA, MA CCC-SLP |
| Practice Address |
2472 Ashmun Street War Memorial Hospital Rehabilitation Centre Sault Sainte Marie MI 49783 |
| Mailing Address |
500 Osborn Blvd Sault Sainte Marie MI 49783-1884 |
| Practice Telephone | 9066354426 |
| Mailing Telephone | 9066354426 |
| Mailing Fax Number | 9066354610 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7101003599 | MI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BOARD OF SPEECH LANGUAGE PATHOLOGY LICENSE | 7101003599 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275515033 | Phyllis M Robertson | Social Worker | 18 Medical Group, Unit 5142, Apo, AP 96368 | 2005-11-17 |
| Street Address |
2472 ASHMUN STREET WAR MEMORIAL HOSPITAL REHABILITATION CENTRE |
| City | SAULT SAINTE MARIE |
| State | MI |
| Zip Code | 49783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| 1033767512 | Louis William Bergman | Pharmacist | 3763 75 Business Spur, Sault Ste Marie, MI 49783 | 2019-08-28 |
| 1831611748 | Thomas Matthew Choponis | Optometrist | 128 W Spruce St Ste 1, Sault Sainte Marie, MI 49783 | 2017-07-12 |
| 1730633223 | Holly D Statt | Dental Hygienist | 905 Marquette Ave, Sault Sainte Marie, MI 49783 | 2016-08-12 |
| 1316306590 | Debra Joyce Peake | Social Worker | 3865 South Mackinac Trail, Sault Ste Marie, MI 49783 | 2016-02-17 |
| 1629465935 | Jodi Johnson | Occupational Therapy Assistant | 1011 Merridian St, Sault Saint Marie, MI 49783 | 2015-04-24 |
| 1972885606 | Elizabeth Hayes | Social Worker | 3865 S Mackinac Trail, Sault Ste Marie, MI 49783 | 2011-09-20 |
| 1922252618 | Denise L. Montgomery | Registered Nurse | 500 Osborn Blvd., Sault Ste Marie, MI 49783 | 2008-11-08 |
| 1487829826 | Melanie A Cook | Eyewear Supplier (Equipment, not the service) | 1908 Ashman Street, Sault Ste Marie, MI 49783 | 2008-04-28 |
| 1487825485 | Arfstrom Pharmacies, Inc. | Durable Medical Equipment & Medical Supplies | 409 Ashmun Street, Sault Sainte Marie, MI 49783 | 2008-03-18 |
| Find all providers in zip 49783 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215493788 | Elizabeth Curtis | Speech-Language Pathologist | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2019-02-20 |
| 1174094403 | Jeanette Laffy | Speech-Language Pathologist | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2018-12-16 |
| 1356811186 | Sarah Anne Hanson | Speech-Language Pathologist | 2472 Ashmun St, Sault Sainte Marie, MI 49783-3768 | 2018-12-05 |
| 1295205128 | Kristen Lynn Grove | Speech-Language Pathologist | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2018-12-04 |
| 1922578913 | Jodi Marie Newell | Speech-Language Pathologist | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2018-12-03 |
| 1013487115 | Thaddeus Rogalla | Speech-Language Pathologist | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1884 | 2018-11-30 |
| 1770053084 | Daniel Mark Skog | Speech-Language Pathologist | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2018-11-29 |
| 1164992400 | Lisa E Goulet | Speech-Language Pathologist | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1884 | 2018-11-29 |
| 1306316641 | Lisa M Lewicki | Speech-Language Pathologist | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2018-11-29 |
| 1861973802 | Erin N Dankert | Speech-Language Pathologist | 1011 Meridian St, Sault Sainte Marie, MI 49783-2650 | 2018-08-28 |
| Find all providers in SAULT SAINTE MARIE | ||||
| City | SAULT SAINTE MARIE |
| Zip Code | 49783 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.