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NPI Code Detail

MEDICARE: ROBIN NICOLE MASSARI

MEDICARE: ROBIN NICOLE MASSARI
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1689338345
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN NICOLE MASSARI
Provider Business Mailing Address
First Line : 30 CHURCH HILL RD
Second Line :
City : NEWTOWN
State : CT
Zip : 06470-1658
Country : US
Telephone Number : 203-449-7908
Fax Number :
Provider Business Practice Location Address
First Line : 30 CHURCH HILL RD
Second Line :
City : NEWTOWN
State : CT
Zip : 06470-1658
Country : US
Telephone Number : 203-449-7908
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2021
Last Update Date : 10/28/2021

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Directions to “ ROBIN NICOLE MASSARI ” Practice Location

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