Provider Demographics
NPI:1164526695
Name:HARDIN, ROBIN BARNES (MA)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:BARNES
Last Name:HARDIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 WATERFORD CT
Mailing Address - Street 2:
Mailing Address - City:BOGART
Mailing Address - State:GA
Mailing Address - Zip Code:30622-3067
Mailing Address - Country:US
Mailing Address - Phone:706-369-3182
Mailing Address - Fax:
Practice Address - Street 1:1612 MARS HILL RD
Practice Address - Street 2:SUITE A
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-4838
Practice Address - Country:US
Practice Address - Phone:706-310-7115
Practice Address - Fax:706-310-7116
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA640231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist