Individual
DR. ROBERT S. BODNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
215 EXECUTIVE DR, SUITE 102, CRANBERRY TWP, PA 16066-6406
(724) 776-5690
(724) 776-5611
Mailing address
215 EXECUTIVE DR, SUITE 102, CRANBERRY TWP, PA 16066-6406
(724) 776-5690
(724) 776-5611
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-003621-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058172 A041153
VBH-PA
—
01
—
058172 A796230
VBH-PA
PA
01
—
19-001834802
PROMISE
—
01
—
2023505
CIGNA
—
01
—
215834
UPMC
—
05
—
41-01834802
—
PA
01
—
4587159
AETNA
—
01
—
570835
HIGHMARK
—
01
—
61-00250
UNITED BEHAVIORAL HEALTH
—
Enumeration date
03/28/2007
Last updated
07/08/2007
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