Individual
MICHAEL PATRICK SCHWABENBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
120 E 2ND ST, THIRD FLOOR, ERIE, PA 16507-1537
(814) 877-8013
(814) 877-8007
Mailing address
120 E 2ND ST, THIRD FLOOR, ERIE, PA 16507-1537
(814) 877-8013
(814) 877-8007
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS-005065-L
PA
103TC0700X
Clinical Psychologist
Primary
PS005065L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680009309
RAILROAD MEDICARE IND#
PA
Enumeration date
06/20/2005
Last updated
08/19/2015
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