Robert J Bronson in Fayetteville - Clinical
Robert J Bronson - NPI 1629262902
Robert J Bronson is a Clinical in Fayetteville, Arkansas. Robert J Bronson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert J Bronson is 1629262902. The last update date is 2007-08-30.
Robert J Bronson's current location address is 4253 N Crossover Rd, Fayetteville, Arkansas. You can contact this provider via phone number 4795215731 and fax number 4795216520. The mailing address for Robert J Bronson is 4253 N Crossover Rd, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert J Bronson |
|---|---|
| Address | 4253 N Crossover Rd, Fayetteville, Arkansas |
| Phone Number | 4795215731 |
| Fax Number | 4795216520 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1629262902 |
|---|---|
| Provider Enumeration Date | 2007-08-30 |
| Last Updated Date | 2007-08-30 |
Provider Mailing Address Detail
| Address | 4253 N Crossover Rd |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727034593 |
| Phone Number | 4795215731 |
| Fax Number | 4795216520 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2146-C |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Robert J Bronson by the Centers for Medicare & Medicaid Services (CMS)?
The Robert J Bronson has been assigned the NPI (National Provider Identifier) 1629262902. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Robert J Bronson's physical address?
The Robert J Bronson is physically located at 4253 N Crossover Rd, in the city of Fayetteville, AR, with the postal code 727034593.
What is the Robert J Bronson's specialty and taxonomy code?
The Robert J Bronson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Robert J Bronson receive its 1629262902?
The Robert J Bronson was issued its 1629262902 on 2007-08-30, which is the date when the organization was assigned this unique identifier.
When was the information regarding Robert J Bronson most recently updated?
The details pertaining to the Robert J Bronson, including its address, specialty, and other relevant information, were last refreshed on 2007-08-30.