Provider Demographics
NPI:1881487395
Name:ROBINSON, GINA MARIE (MS , SLP-CF)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:MARIE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MS , SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8512 TIMBERCREST DR S
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-1288
Mailing Address - Country:US
Mailing Address - Phone:817-475-2743
Mailing Address - Fax:
Practice Address - Street 1:4201 SPRING VALLEY RD STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-1209
Practice Address - Country:US
Practice Address - Phone:866-919-3240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123643235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist