Provider Demographics
NPI:1942415815
Name:ISAACSON, ROBERT A (MSS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:A
Last Name:ISAACSON
Suffix:
Gender:M
Credentials:MSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 MONTGOMERY AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1937
Mailing Address - Country:US
Mailing Address - Phone:610-446-4981
Mailing Address - Fax:610-664-1424
Practice Address - Street 1:822 MONTGOMERY AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1937
Practice Address - Country:US
Practice Address - Phone:610-446-4981
Practice Address - Fax:610-664-1424
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW000358E1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical