Petkovich, Robin

Petkovich, Robin is an sole proprietor health care provider with primary practice located at 1700 W Smith Valley Rd Ste A8 , Greenwood IN 46142-1589. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Petkovich, Robin can be contacted via phone (317) 750-9797.

Contact Information

Primary practice address
1700 W Smith Valley Rd Ste A8 Greenwood IN 46142-1589
Phone: (317) 750-9797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041918 Indiana
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20041918A Indiana

Profile Details

NPI number 1144270422
LBN Legal business name Petkovich, Robin
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Jul 25th, 2025 - about last year

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 1144270422 NPPES
Indiana MEDICAID 200496030

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