Doctor Name: | DR. ROBERT EARL OUTMAN-CONANT |
NPI Number: | 1003827361 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D MIN |
License Number: | 585 |
Business Practice Address: | 482 Beech St Rockland, MA - 023702753 |
Business Phone Number: | 7818711659 |
Business Fax Number: | |
Mailing Address: | 482 Beech St, ROCKLAND |
State: | MA |
Postal Code: | 023702753 |
Phone Number: | 7818711659 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |