Provider Demographics
NPI:1629335633
Name:TRENTI, ROBIN ANN (CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:ANN
Last Name:TRENTI
Suffix:
Gender:F
Credentials:CCC-A
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:SMITH-TRENTI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC-A
Mailing Address - Street 1:79 HIGHLAND AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2711
Mailing Address - Country:US
Mailing Address - Phone:978-741-1284
Mailing Address - Fax:978-745-0203
Practice Address - Street 1:79 HIGHLAND AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2711
Practice Address - Country:US
Practice Address - Phone:978-741-1284
Practice Address - Fax:978-745-0203
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-15
Last Update Date:2012-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA361231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist