Provider Demographics
NPI:1215361530
Name:BASSETT, ROBIN T (CLD, CCCE, HCHD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:T
Last Name:BASSETT
Suffix:
Gender:F
Credentials:CLD, CCCE, HCHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9921 WIGHAM ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-2656
Mailing Address - Country:US
Mailing Address - Phone:720-999-8717
Mailing Address - Fax:
Practice Address - Street 1:9921 WIGHAM ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2656
Practice Address - Country:US
Practice Address - Phone:720-999-8717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO102800441374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula