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Individual

DR. ROBERT B. MCCUE II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
100 DEERFIELD RD, WINDSOR, CT 06095-4252
(860) 552-2002
Mailing address
100 DEERFIELD RD, WINDSOR, CT 06095-4252
(860) 552-2002

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
003233
CT
103G00000X
Clinical Neuropsychologist
PY5358
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003233
CONNECTICUT PSYCHOLOGIST LICENSE
CT
01
59819Y
INDIVIDUAL
FL
Enumeration date
09/27/2006
Last updated
10/19/2012
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