Dexter Jamison Briere

Individual provider Active NPI Developmental Therapist · Cromwell, CT

NPI 1700570595 · NPPES record last updated Jun 6, 2023

Key facts

NPI
1700570595
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
110 Court St Ste 3B
Cromwell, CT 06416-1273
Phone
(860) 613-9930
Fax
(860) 613-9952
NPI assigned
Jun 6, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

110 Court St Ste 3B
Cromwell, CT 06416-1273

Mailing address

110 Court St Ste 3B
Cromwell, CT 06416-1273
Phone (860) 613-9930

Other providers in Cromwell, CT

All providers in Cromwell, CT · Developmental Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.