Organization
COUNSELING AND ASSESSMENT SERVICES
Active
Other names
Robert R. Iddings, Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R. IDDINGS PH. D. (OWNER/PSYCHOLOGIST)
(814) 490-4740
Entity
Organization
Contact information
Practice address
1363 W 6TH ST, ERIE, PA 16505-2559
(814) 490-4740
(814) 455-0754
Mailing address
1363 W 6TH ST, ERIE, PA 16505-2559
(814) 490-4740
(814) 455-0754
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC005995
PA
103T00000X
Psychologist
Primary
PS016557L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026954840001
—
PA
Enumeration date
05/31/2013
Last updated
05/31/2013
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