Healthcare Provider Details

I. General information

NPI: 1912378084
Provider Name (Legal Business Name): JAMES P. SCHIERBERL, PH.D. AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2015
Last Update Date: 10/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1357 W 6TH ST
ERIE PA
16505-2503
US

IV. Provider business mailing address

1357 W 6TH ST
ERIE PA
16505-2503
US

V. Phone/Fax

Practice location:
  • Phone: 814-456-6078
  • Fax: 814-456-6078
Mailing address:
  • Phone: 814-456-6078
  • Fax: 814-456-6078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS-004620-L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF000332
License Number StatePA

VIII. Authorized Official

Name: DR. JAMES PHILIP SCHIERBERL
Title or Position: CLINICAL CHILD PSYCHOLOGIST
Credential: PH.D.
Phone: 814-456-6078