Mailliard, Robert L

Mailliard, Robert L is an individual health care provider with primary practice located at 120 E 2Nd St Third Floor, Erie PA 16507-1537. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mailliard, Robert L can be contacted via phone (814) 877-8013.

Contact Information

Primary practice address
120 E 2Nd St Third Floor Erie PA 16507-1537
Phone: (814) 877-8013
Fax: (814) 877-8007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS016253 Pennsylvania

Profile Details

NPI number 1487852935
LBN Legal business name Mailliard, Robert L
Credentials PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2007
Last updated Aug 19th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487852935 NPPES
Pennsylvania MEDICAID 1019567000

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