Provider Demographics
NPI:1861678237
Name:KOHLER, ROBERT JOSEPH (MED, MA)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:KOHLER
Suffix:
Gender:M
Credentials:MED, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1150 BERKSHIRE BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1208
Mailing Address - Country:US
Mailing Address - Phone:610-373-7005
Mailing Address - Fax:610-373-8005
Practice Address - Street 1:1150 BERKSHIRE BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1208
Practice Address - Country:US
Practice Address - Phone:610-373-7005
Practice Address - Fax:610-373-8005
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS002477L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical