Provider Demographics
NPI:1750315024
Name:ISETT, ROBERT D
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:ISETT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 BELLA CIR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2035
Mailing Address - Country:US
Mailing Address - Phone:215-348-0944
Mailing Address - Fax:
Practice Address - Street 1:435 BELLA CIR
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2035
Practice Address - Country:US
Practice Address - Phone:215-348-0944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS002845-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAIS50897Medicare ID - Type Unspecified