Provider Demographics
NPI:1306060751
Name:HEARING SOLUTIONS AUDIOLOGY CENTER, PC
Entity type:Organization
Organization Name:HEARING SOLUTIONS AUDIOLOGY CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:RENAY
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:410-672-1233
Mailing Address - Street 1:1413 ANNAPOLIS RD # A
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 # A
Practice Address - Street 2:SUITE 104
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1216
Practice Address - Country:US
Practice Address - Phone:410-672-1233
Practice Address - Fax:410-672-8990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00936231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD11527238OtherCAQH