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Robert Shields, crpa-p

Peer Specialist in Waterloo, NY. Individual provider (NPI-1).

NPI number1083178214
StatusActive
Last updated in NPPESJan 28, 2019

Details

NPI
1083178214
Entity type
Individual (NPI-1)
Name
Robert Shields
Credential
crpa-p
Sex
Male
Sole proprietor
No
Enumeration date
Jan 22, 2019
Last updated
Jan 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

31 Thurber Dr
Waterloo, NY 13165-1665

Phone 315-539-1985 · Fax 315-539-4393

Mailing address

6 Troy Street
Seneca Falls, NY 13148

Phone 315-651-9746 · Fax 315-539-4393

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Other Peer Specialist providers in Waterloo, NY

All 6 Peer Specialist providers in Waterloo · All 249 providers in Waterloo

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