Robert R Iddings is a Clinical in Erie, Pennsylvania. Robert R Iddings practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert R Iddings is 1710085105. The last update date is 2012-08-13.
Robert R Iddings's current location address is 529 Vermont Ave, Erie, Pennsylvania. You can contact this provider via phone number 8144904740 and fax number 8144550754. The mailing address for Robert R Iddings is 529 Vermont Ave, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert R Iddings |
|---|---|
| Address | 529 Vermont Ave, Erie, Pennsylvania |
| Phone Number | 8144904740 |
| Fax Number | 8144550754 |
| Sole Proprietor | Y |
| Credentials | PH. D. |
NPI Number Detail
| NPI Number | 1710085105 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2012-08-13 |
Provider Mailing Address Detail
| Address | 529 Vermont Ave |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165052337 |
| Phone Number | 8144904740 |
| Fax Number | 8144550754 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS016657L |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PC004193 | PA | PROFESSIONAL COUN LICENSE | |
| PS016657L | PA | LICENSED PSYCHOLOGIST |
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What is the unique 10-digit identification code issued to Robert R Iddings by the Centers for Medicare & Medicaid Services?
The Robert R Iddings has been assigned the NPI (National Provider Identifier) 1710085105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Robert R Iddings?
The Robert R Iddings is physically situated at 529 Vermont Ave, in the city of Erie, state of PA, with the postal code 165052337.
What is Robert R Iddings's area of expertise and its corresponding taxonomy classification?
The Robert R Iddings's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1710085105 to Robert R Iddings?
The Centers for Medicare & Medicaid Services assigned the 1710085105 to Robert R Iddings on 2006-09-20.
When was the information pertaining to Robert R Iddings most recently updated or revised?
The details related to Robert R Iddings, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-13.
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