Robertson, Bronwyn L.
Robertson, Bronwyn L. is an sole proprietor health care provider with primary practice located at 821 W 21St St Suite 201, Norfolk VA 23517-1500. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Robertson, Bronwyn L. can be contacted via phone (757) 775-0970.Contact Information
Primary practice address
821 W 21St St Suite 201
Norfolk VA 23517-1500
Phone: (757) 775-0970
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701004249 | Virginia |
Profile Details
NPI number | 1033304712 |
---|---|
LBN Legal business name | Robertson, Bronwyn L. |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 6th, 2007 |
Last updated | Apr 21st, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033304712 | NPPES |
Virginia | MEDICAID | 00004945395 | |
Virginia | Other | O80311M |
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