Healthcare Provider Details

I. General information

NPI: 1346261740
Provider Name (Legal Business Name): CAROL ANN ROBINSON AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 CREAMERY WAY SUITE 103
EXTON PA
19341-2533
US

IV. Provider business mailing address

130 GREEN HILLS RD
BIRDSBORO PA
19508-8373
US

V. Phone/Fax

Practice location:
  • Phone: 610-384-8300
  • Fax: 610-384-8885
Mailing address:
  • Phone: 610-384-8300
  • Fax: 610-384-8885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT000482L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: