Provider Demographics
NPI:1043514938
Name:MACHAMER, ROBERT JR (DMIN)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:MACHAMER
Suffix:JR
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 KINGSVIEW RD
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-8021
Mailing Address - Country:US
Mailing Address - Phone:610-334-3295
Mailing Address - Fax:
Practice Address - Street 1:2001 KINGSVIEW RD
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062-8021
Practice Address - Country:US
Practice Address - Phone:610-334-3295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000093106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist