Provider Demographics
NPI:1548209273
Name:HINKLE, ROBERT REESE (PHD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:REESE
Last Name:HINKLE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 LUCY DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-8050
Mailing Address - Country:US
Mailing Address - Phone:540-434-3977
Mailing Address - Fax:540-433-7595
Practice Address - Street 1:339 LUCY DR
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8050
Practice Address - Country:US
Practice Address - Phone:540-434-3977
Practice Address - Fax:540-433-7595
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000091231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009450696Medicaid
VA640000058Medicare ID - Type Unspecified