Provider Demographics
NPI:1710426846
Name:PITCHFORD, ROBERT SCOTT (HAS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:SCOTT
Last Name:PITCHFORD
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1751 BLUE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-5826
Mailing Address - Country:US
Mailing Address - Phone:407-601-5798
Mailing Address - Fax:407-286-3186
Practice Address - Street 1:124 S. AMELIA AVE. UNIT #B
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-5564
Practice Address - Country:US
Practice Address - Phone:386-736-3322
Practice Address - Fax:386-736-1133
Is Sole Proprietor?:No
Enumeration Date:2017-02-22
Last Update Date:2017-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAST593237700000X
FLAS5273237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist