Individual
ROBIN PETKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1700 W SMITH VALLEY RD STE A8, GREENWOOD, IN 46142-1589
(317) 750-9797
Mailing address
1700 W SMITH VALLEY RD STE A8, GREENWOOD, IN 46142-1589
(317) 750-9797
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20041918
IN
103TC1900X
Counseling Psychologist
Primary
20041918A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200496030
—
IN
Enumeration date
05/10/2006
Last updated
07/25/2025
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