Healthcare Provider Details

I. General information

NPI: 1730209461
Provider Name (Legal Business Name): TERESA MAYES ROBINSON MS, BC-HIS, A.C.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERESA MAYES ROBINSON

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 PROFESSIONAL DR
WILLIAMSBURG VA
23185-3329
US

IV. Provider business mailing address

1658 FOREST GLENN CIR
CHESTER VA
23836-6112
US

V. Phone/Fax

Practice location:
  • Phone: 804-240-2181
  • Fax:
Mailing address:
  • Phone: 804-240-2181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2101000328
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: