Doctor Name: | DR. ROBERT J. MARCOVITZ |
NPI Number: | 1144307620 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | PS002875L |
Business Practice Address: | 1012 Bethlehem Pike Spring House, PA - 194770086 |
Business Phone Number: | 2156465349 |
Business Fax Number: | |
Mailing Address: | 210 Clover Ln, AMBLER |
State: | PA |
Postal Code: | 190022401 |
Phone Number: | 2156465349 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS002875L |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |