Provider Demographics
NPI:1124542972
Name:ROBBINS, MELODY LEE
Entity Type:Individual
Prefix:
First Name:MELODY
Middle Name:LEE
Last Name:ROBBINS
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 1:40 MT HITCHCOCK RD
Mailing Address - Street 2:
Mailing Address - City:WALES
Mailing Address - State:MA
Mailing Address - Zip Code:01081-9750
Mailing Address - Country:US
Mailing Address - Phone:413-324-6784
Mailing Address - Fax:
Practice Address - Street 1:40 MT HITCHCOCK RD
Practice Address - Street 2:
Practice Address - City:WALES
Practice Address - State:MA
Practice Address - Zip Code:01081-9750
Practice Address - Country:US
Practice Address - Phone:413-324-6784
Practice Address - Fax:413-324-6784
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program