Individual
ROBERT MARTIN DUWORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY671
RI
103TC0700X
Clinical Psychologist
Primary
048.0074176
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189757
MAGELLAN
—
01
—
P04750
BCBS
MA
Enumeration date
12/08/2006
Last updated
10/09/2023
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