IndividualActive
Michelle Robertson, M.A. CCC-SLP
NPI 1164584702 · Speech-Language Pathologist · Fayetteville, GA
Provider details
- NPI number
- 1164584702
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.A. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SLP006205 (GA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
125 Creekview Trl
Fayetteville, GA 30214-7229
Phone: (678) 764-8304
Fax: (866) 464-6131
Street-level locationGet directions
Mailing address
815 Rudgate Rd
Columbus, GA 31904-2930
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.