Provider Demographics
NPI:1699949024
Name:ROBINSON, PAMELA J P (MS)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:J P
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 NE FRONT ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1430
Mailing Address - Country:US
Mailing Address - Phone:302-422-3312
Mailing Address - Fax:302-422-3316
Practice Address - Street 1:104 NE FRONT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1430
Practice Address - Country:US
Practice Address - Phone:302-422-3312
Practice Address - Fax:302-422-3316
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE231H00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE11774946OtherCIGNA
DE7850968OtherAETNA