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NPI Code Detail

MEDICARE: JEWEL ROBINSON

MEDICARE: JEWEL ROBINSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1093108847
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEWEL ROBINSON
Provider Business Mailing Address
First Line : 25 AMATO DR APT H
Second Line :
City : SOUTH WINDSOR
State : CT
Zip : 06074-3656
Country : US
Telephone Number : 860-338-9859
Fax Number :
Provider Business Practice Location Address
First Line : 314 NEW BRITAIN RD STE C
Second Line :
City : BERLIN
State : CT
Zip : 06037-5306
Country : US
Telephone Number : 860-338-9859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2015
Last Update Date : 08/12/2020

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Directions to “ JEWEL ROBINSON ” Practice Location

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