Dr Robert R Iddings, PH D is a
Psychologist based in Erie, Pennsylvania. Dr Robert R Iddings is licensed to practice in Pennsylvania (license number PS016657L) and his current practice location is
1363 W 6th St, Erie, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(814) 490-4740.
NPI number for Dr Robert R Iddings is 1710085105 and his current mailing address is 529 Vermont Ave, Erie, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710085105.
Healthcare Provider's Profile
| Full Name | Dr Robert R Iddings |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 1363 W 6th St, Erie, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710085105
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 08/13/2012
Medical Identifiers
Medical identifiers for Dr Robert R Iddings such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710085105 | NPI | - | NPPES |
| PC004193 | Other | PA | PROFESSIONAL COUN LICENSE |
| PS016657L | Other | PA | LICENSED PSYCHOLOGIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LP004193 (Pennsylvania) | Secondary |
| 103T00000X | Psychologist | PS016657L (Pennsylvania) | Primary |
| 103TC0700X | Psychologist - Clinical | PS016657L (Pennsylvania) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert R Iddings is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Robert R Iddings, PH D
529 Vermont Ave,
Erie, PA 16505-2337
Ph: (814) 490-4740 | Dr Robert R Iddings, PH D
1363 W 6th St,
Erie, PA 16505-2559
Ph: (814) 490-4740 |
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