Robert Cole Brewer
Individual provider Active NPI Developmental Therapist · Cromwell, CT
NPI 1992270896 · NPPES record last updated Oct 6, 2018
Key facts
- NPI
- 1992270896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 162 West St Ste F
Cromwell, CT 06416-4405 - Phone
- (860) 613-9930
- Fax
- (860) 613-9952
- NPI assigned
- Oct 6, 2018
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
162 West St Ste F
Cromwell, CT 06416-4405
Mailing address
162 West St Ste F
Cromwell, CT 06416-4405
Phone (860) 613-9930
Other providers in Cromwell, CT
- Brooke L Boyd
- Susan R Bozso
- Taylor Bradley
- Chelsea Joelle Brashear
- Robert Alan Breault
- Susan Brien
- Dexter Jamison Briere
- Tiffany Anne Brown
- Veronica Brown
- Candice Bruno
All providers in Cromwell, CT · Developmental Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2018. 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.