Provider Demographics
NPI:1881913986
Name:ROBARGE, DEBORAH WICK (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:WICK
Last Name:ROBARGE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:WICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:218 OLD CHESHIRE TURNPIKE
Mailing Address - Street 2:P.O. BOX 937
Mailing Address - City:WALPOLE
Mailing Address - State:NH
Mailing Address - Zip Code:03608-0937
Mailing Address - Country:US
Mailing Address - Phone:603-445-2126
Mailing Address - Fax:
Practice Address - Street 1:218 OLD CHESHIRE TURNPIKE
Practice Address - Street 2:
Practice Address - City:DREWSVILLE
Practice Address - State:NH
Practice Address - Zip Code:03608
Practice Address - Country:US
Practice Address - Phone:603-445-2126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0057235Z00000X
VT8015774235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist