Provider Demographics
NPI:1912238320
Name:ROBERTSON, DONALD UREY (PHD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:UREY
Last Name:ROBERTSON
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:CENTER FOR APPLIED PSYCHOLOGY 1020 OAKLAND
Mailing Address - Street 2:238A UHLER HALL
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15705-1064
Mailing Address - Country:US
Mailing Address - Phone:724-357-4522
Mailing Address - Fax:724-357-7817
Practice Address - Street 1:CENTER FOR APPLIED PSYCHOLOGY 1020 OAKLAND
Practice Address - Street 2:238A UHLER HALL
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15705-1064
Practice Address - Country:US
Practice Address - Phone:724-357-4522
Practice Address - Fax:724-357-7817
Is Sole Proprietor?:No
Enumeration Date:2010-01-25
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003325L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist