Provider Demographics
NPI:1255416996
Name:BARTEK, ROBERT P (PHD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:P
Last Name:BARTEK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 MARKET ST.
Mailing Address - Street 2:RM 36
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201
Mailing Address - Country:US
Mailing Address - Phone:724-548-4651
Mailing Address - Fax:724-538-4446
Practice Address - Street 1:508 PITTSBURGH ST.
Practice Address - Street 2:SUITE 102
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16201
Practice Address - Country:US
Practice Address - Phone:724-625-2214
Practice Address - Fax:724-538-4446
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007099-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS30711Medicare UPIN
PA518302Medicare ID - Type Unspecified