Robert Wayman Worsham, PH.D.
Individual provider Active NPI Psychologist · Woodstock, CT
NPI 1083942841 · NPPES record last updated Dec 5, 2009
Key facts
- NPI
- 1083942841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 902 (CT)
- Practice address
- 34 Applewood Dr
Woodstock, CT 06281-2304 - Phone
- (860) 928-3287
- NPI assigned
- Dec 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902 | CT | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Psychologist | 103T00000X | 902 | CT | Yes |
Addresses
Primary practice location
34 Applewood Dr
Woodstock, CT 06281-2304
Mailing address
34 Applewood Dr
Woodstock, CT 06281-2304
Phone (860) 928-3287
Other providers in Woodstock, CT
- Jaidyn Avery Varin
- Noreen Wallace
- Paige Westerfield
- Woodstock Public Schools
- Woodstock Volunteer Fire Assoc Inc
- Lindsay Jean Young
All providers in Woodstock, CT · Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.