Provider Demographics
NPI:1417720244
Name:ROBERT M DUWORS INCORPORATED
Entity Type:Organization
Organization Name:ROBERT M DUWORS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE/PSYCHOMETRIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-876-7613
Mailing Address - Street 1:162 HEGEMAN AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-3109
Mailing Address - Country:US
Mailing Address - Phone:802-876-7613
Mailing Address - Fax:802-876-7813
Practice Address - Street 1:162 HEGEMAN AVE STE 106
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-3109
Practice Address - Country:US
Practice Address - Phone:802-876-7613
Practice Address - Fax:802-876-7813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty