Provider Demographics
NPI:1285619007
Name:SPECTOR, RICHARD HARRIS (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:HARRIS
Last Name:SPECTOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16301-2917
Mailing Address - Country:US
Mailing Address - Phone:814-678-3987
Mailing Address - Fax:814-678-5306
Practice Address - Street 1:4619 PEACH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-2006
Practice Address - Country:US
Practice Address - Phone:814-868-8505
Practice Address - Fax:814-868-8515
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067333-L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAD14587Medicare UPIN
PA021804Medicare ID - Type UnspecifiedM.D., PSYCHIATRIST