Provider Demographics
NPI:1265498794
Name:DAY, ROBERT J (MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:J
Last Name:DAY
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 PARADE STREET, UNIT B
Mailing Address - Street 2:UNIT B
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507
Mailing Address - Country:US
Mailing Address - Phone:814-838-2282
Mailing Address - Fax:814-838-1091
Practice Address - Street 1:503 PARADE STREET, UNIT B
Practice Address - Street 2:UNIT B
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507
Practice Address - Country:US
Practice Address - Phone:814-838-2282
Practice Address - Fax:814-838-1091
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACAC NUMBER 4355101YA0400X
PAPC000605101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)