| Counseling And Assessment Services | |
|
1363 W 6th St Erie PA 16505-2559 | |
| (814) 490-4740 | |
| (814) 455-0754 |
| Full Name | Counseling And Assessment Services |
|---|---|
| Speciality | Psychologist |
| Location | 1363 W 6th St, Erie, Pennsylvania |
| Authorized Official Name and Position | Robert R. Iddings (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 8144904740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Assessment Services 1363 W 6th St Erie PA 16505-2559 Ph: (814) 490-4740 | Counseling And Assessment Services 1363 W 6th St Erie PA 16505-2559 Ph: (814) 490-4740 |
| NPI Number | 1497192363 |
|---|---|
| Provider Enumeration Date | 05/31/2013 |
| Last Update Date | 05/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497192363 | NPI | - | NPPES |
| 1026954840001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC005995 (Pennsylvania) | Secondary |
| 103T00000X | Psychologist | PS016557L (Pennsylvania) | Primary |
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