Provider Demographics
NPI:1528246154
Name:ROBERT H. KAMMEN, PSY.D.
Entity type:Organization
Organization Name:ROBERT H. KAMMEN, PSY.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:KAMMEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:570-718-1760
Mailing Address - Street 1:250 PIERCE ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-5149
Mailing Address - Country:US
Mailing Address - Phone:570-718-1760
Mailing Address - Fax:570-718-1763
Practice Address - Street 1:250 PIERCE ST
Practice Address - Street 2:SUITE 214
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-5149
Practice Address - Country:US
Practice Address - Phone:570-718-1760
Practice Address - Fax:570-718-1763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-006066-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty