Individual
MR. ROBERT SCHAEFER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
865 HILLTOP ROAD, ERIE, PA 16509-2153
(814) 868-2178
Mailing address
865 HILLTOP ROAD, ERIE, PA 16509-2153
(814) 868-2178
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003737L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01846910
DEPT PUBLIC WELFARE
PA
Enumeration date
02/21/2007
Last updated
07/08/2007
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