| Doctor Name: | ROBERT DEAN |
| NPI Number: | 1275991028 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 3198 |
| Business Practice Address: | 19 Halls Rd #234 Old Lyme, CT - 063711457 |
| Business Phone Number: | 8604345398 |
| Business Fax Number: | 8604345473 |
| Mailing Address: | 19 Halls Rd, #234 OLD LYME |
| State: | CT |
| Postal Code: | 063711457 |
| Phone Number: | 8604345398 |
| Fax Number: | 8604345473 |
| NPI Enumeration Date: | 02/08/2016 |
| NPI Last Update Date: | 02/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3198 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |