Provider Demographics
NPI:1326389776
Name:PARKER, ROBIN M (MT-BC)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:M
Last Name:PARKER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 DIXON ST
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:SC
Mailing Address - Zip Code:29591-5895
Mailing Address - Country:US
Mailing Address - Phone:843-621-7899
Mailing Address - Fax:
Practice Address - Street 1:210 DIXON ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:SC
Practice Address - Zip Code:29591-5895
Practice Address - Country:US
Practice Address - Phone:843-621-7899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist