Provider Demographics
NPI:1841580198
Name:DROMBOSKI, ROBERT J (LP)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:DROMBOSKI
Suffix:
Gender:M
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 S MAIN ST
Mailing Address - Street 2:STE 213
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4871
Mailing Address - Country:US
Mailing Address - Phone:215-345-8828
Mailing Address - Fax:215-348-3645
Practice Address - Street 1:350 S MAIN ST
Practice Address - Street 2:STE 213
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4871
Practice Address - Country:US
Practice Address - Phone:215-345-8828
Practice Address - Fax:215-348-3645
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006762L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling