Dr Krista L Robertson, PHD | |
320 Trexler Ave, Kutztown, PA 19530-9712 | |
(941) 961-4480 | |
(941) 404-1617 |
Full Name | Dr Krista L Robertson |
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Gender | Female |
Speciality | Psychologist |
Location | 320 Trexler Ave, Kutztown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386815306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY7559 (Florida) | Secondary |
103TS0200X | Psychologist - School | 1004304 (Florida) | Secondary |
103T00000X | Psychologist | PS020095 (Pennsylvania) | Primary |
Entity Name | Mcr Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
Entity Name | Quality Bhs Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689297541 PECOS PAC ID: 4082030721 Enrollment ID: O20200812002561 |
Mailing Address | Practice Location Address |
---|---|
Dr Krista L Robertson, PHD 5429 University Pkwy # 1069, University Park, FL 34201-2012 Ph: (941) 961-4480 | Dr Krista L Robertson, PHD 320 Trexler Ave, Kutztown, PA 19530-9712 Ph: (941) 961-4480 |
Mrs. Michele W Dugan, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 133 East Main St, Kutztown, PA 19530 Phone: 610-858-0369 | |
Dr. Dennis Jerome Geiger, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1434 Packard Ct, Kutztown, PA 19530 Phone: 814-730-0203 |