Provider Demographics
NPI:1487089256
Name:ROBINSON, JENNIFER LEIGH
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEIGH
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6103 CARLISLE PIKE
Mailing Address - Street 2:FRONT SUITE
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2320
Mailing Address - Country:US
Mailing Address - Phone:717-458-5711
Mailing Address - Fax:717-458-5738
Practice Address - Street 1:6103 CARLISLE PIKE
Practice Address - Street 2:FRONT SUITE
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2320
Practice Address - Country:US
Practice Address - Phone:717-458-5711
Practice Address - Fax:717-458-5738
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03544237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist