Individual
DR. ROBERT RICHARD DEMERATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
388 EVANS ST, SUITE 303, WILLIAMSVILLE, NY 14221-5626
(716) 632-7066
(716) 632-7066
Mailing address
388 EVANS ST, SUITE 303, WILLIAMSVILLE, NY 14221-5626
(716) 632-7066
(716) 632-7066
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000511044003
BLUECROSS BLUESHIELD
NY
05
—
01276273
—
NY
Enumeration date
10/17/2005
Last updated
09/10/2007
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