Healthcare Provider Details
I. General information
NPI: 1699949024
Provider Name (Legal Business Name): PAMELA J P ROBINSON M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/16/2008
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
104 NE FRONT ST
MILFORD DE
19963-1430
US
IV. Provider business mailing address
104 NE FRONT ST
MILFORD DE
19963-1430
US
V. Phone/Fax
- Phone: 302-422-3312
- Fax: 302-422-3316
- Phone: 302-422-3312
- Fax: 302-422-3316
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | DE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: