Robin Petkovich is a Clinical in Greenwood, Indiana. Robin Petkovich practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robin Petkovich is 1144270422. The last update date is 2010-12-02.
Robin Petkovich's current location address is 1700 W Smith Valley Rd Ste A8, Greenwood, Indiana. You can contact this provider via phone number 3177509797. The mailing address for Robin Petkovich is 1700 W Smith Valley Rd Ste A8, Greenwood, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robin Petkovich |
|---|---|
| Address | 1700 W Smith Valley Rd Ste A8, Greenwood, Indiana |
| Phone Number | 3177509797 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD, HSPP |
NPI Number Detail
| NPI Number | 1144270422 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2010-12-02 |
Provider Mailing Address Detail
| Address | 1700 W Smith Valley Rd Ste A8 |
|---|---|
| City | Greenwood |
| State | Indiana (IN) |
| Post Code | 461421589 |
| Phone Number | 3177509797 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20041918 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200496030 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Robin Petkovich by the Centers for Medicare & Medicaid Services?
The Robin Petkovich has been assigned the NPI (National Provider Identifier) 1144270422 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Robin Petkovich is geographically located?
The Robin Petkovich is physically situated at the following location: 1700 W Smith Valley Rd Ste A8, Greenwood, IN, 461421589.
What is Robin Petkovich's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robin Petkovich is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1144270422 to Robin Petkovich?
The Robin Petkovich received its 1144270422 assignment from the Centers for Medicare & Medicaid Services on 2006-05-10.
As of what date were the Robin Petkovich's details last updated?
The information pertaining to the Robin Petkovich, including its address, specialty, and other details, was most recently updated on 2010-12-02.