Healthcare Provider Details

I. General information

NPI: 1942899083
Provider Name (Legal Business Name): GENA BAKER ROBINSON AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GENA ANN BAKER AU.D.

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 01/13/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 JOHNSON RD SW
HUNTSVILLE AL
35805-5847
US

IV. Provider business mailing address

410 MALVERN RD NW
HUNTSVILLE AL
35806-5391
US

V. Phone/Fax

Practice location:
  • Phone: 256-650-1729
  • Fax:
Mailing address:
  • Phone: 205-446-9203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1254A
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: