Spencer, Robert Stewart

Spencer, Robert Stewart is an sole proprietor health care provider with primary practice located at 769 Newfield St , Middletown CT 06457-1846. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Spencer, Robert Stewart can be contacted via phone (860) 342-5622.

Contact Information

Primary practice address
769 Newfield St Middletown CT 06457-1846
Phone: (860) 342-5622
Fax: (860) 342-5622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000821 Connecticut

Profile Details

NPI number 1417013657
LBN Legal business name Spencer, Robert Stewart
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417013657 NPPES
Connecticut Other 821 LCSW STATE LICENSE NUMBER

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