MEDICARE: ROBERT BRANDT, PC

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
1	103TC0700X	Clinical Psychologist	2318	MA

General Provider Information

NPI Number	:	1437204203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT BRANDT, PC

Provider Business Mailing Address
First Line	:	100 KING ST
Second Line	:	SUITE 202
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-3243
Country	:	US
Telephone Number	:	413-586-6542
Fax Number	:	413-586-7533

Provider Business Practice Location Address
First Line	:	100 KING ST
Second Line	:	SUITE 202
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-3243
Country	:	US
Telephone Number	:	413-586-6542
Fax Number	:	413-586-7533

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT BRANDT
Credential	:	PH.D.
Telephone Number	:	413-586-6542

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	08/22/2020

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