Provider Demographics
NPI:1053021535
Name:ROBINSON, PAMELA DINGLE (M ED, CCC/SLP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:DINGLE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:M ED, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7816 NEUGENT DR
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-9949
Mailing Address - Country:US
Mailing Address - Phone:336-692-7561
Mailing Address - Fax:
Practice Address - Street 1:7816 NEUGENT DR
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-9949
Practice Address - Country:US
Practice Address - Phone:336-692-7561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-25
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2725235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist