Provider Demographics
NPI:1437247905
Name:ROBINSON, ROBIN RENAY (AUD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:RENAY
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1413 ANNAPOLIS RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-1216
Mailing Address - Country:US
Mailing Address - Phone:410-672-1233
Mailing Address - Fax:410-672-8990
Practice Address - Street 1:1413 ANNAPOLIS RD
Practice Address - Street 2:SUITE 104
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113
Practice Address - Country:US
Practice Address - Phone:410-672-1233
Practice Address - Fax:410-672-8990
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00936231H00000X, 231HA2400X, 231HA2500X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS87409Medicare UPIN