Individual
MR. ROBERT CHARLES WALKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
3702 BON VIEW DRIVE, ERIE, PA 16506-2258
(814) 838-4706
Mailing address
3702 BON VIEW DRIVE, ERIE, PA 16506-2258
(814) 838-4706
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003974L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01934773
DEPARTMENT OF PUBLIC WELF
PA
Enumeration date
02/22/2007
Last updated
07/08/2007
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