Healthcare Provider Details

I. General information

NPI: 1962661850
Provider Name (Legal Business Name): ROBIN L PEKSA MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 08/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 MILFORD STREET SUITE 101
SALISBURY MD
21804
US

IV. Provider business mailing address

106 MILFORD STREET SUITE 101
SALISBURY MD
21804
US

V. Phone/Fax

Practice location:
  • Phone: 410-742-1567
  • Fax: 410-742-1906
Mailing address:
  • Phone: 410-742-1567
  • Fax: 410-742-1906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: