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Individual

DR. ROBERT PAUL CRAIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3226 STATE ROUTE 257, SENECA, PA 16346-2434
(814) 676-2804
(814) 676-0715
Mailing address
3226 STATE ROUTE 257, PO BOX 449, SENECA, PA 16346-2434
(814) 676-2804
(814) 676-0715

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS 004505-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014533790005
PA
01
275136
BLUE SHIELD GROUP NUMBER
PA
01
531954
BLUE SHIELD INDIVIDUAL #
PA
Enumeration date
02/27/2006
Last updated
01/09/2008
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