Healthcare Provider Details

I. General information

NPI: 1467513093
Provider Name (Legal Business Name): JAMES PHILIP SCHIERBERL JR. PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
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 Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPS004620L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: