Individual
ROBERT LARRY PFEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1900 JEANWOOD DR, ELKHART, IN 46514-4769
(574) 264-1133
Mailing address
4860 ROBB ST, SUITE 201, WHEAT RIDGE, CO 80033-2184
(303) 278-7418
(888) 341-5050
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040592A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200530680A
—
IN
01
—
P00244022
RAILROAD
IN
Enumeration date
06/28/2006
Last updated
10/08/2013
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