Brockett, Daniel Raymond
Brockett, Daniel Raymond is an sole proprietor health care provider with primary practice located at 2 Pomperaug Office Park Suite 206-D, Southbury CT 06488-2288. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Brockett, Daniel Raymond can be contacted via phone (203) 264-3050.Contact Information
Primary practice address
2 Pomperaug Office Park Suite 206-D
Southbury CT 06488-2288
Phone: (203) 264-3050
Fax: (203) 264-2426
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 001851 | Connecticut |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 001851 | Connecticut |
Profile Details
NPI number | 1801921333 |
---|---|
LBN Legal business name | Brockett, Daniel Raymond |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 23rd, 2007 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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