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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417013657 | NPPES |
| Connecticut | Other | 821 | LCSW STATE LICENSE NUMBER |
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