Provider Demographics
NPI:1568623650
Name:POWER, ROBERT BRUCE (EDD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRUCE
Last Name:POWER
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-6913
Mailing Address - Country:US
Mailing Address - Phone:401-862-1438
Mailing Address - Fax:401-846-5772
Practice Address - Street 1:160 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-6913
Practice Address - Country:US
Practice Address - Phone:401-862-1438
Practice Address - Fax:401-846-5772
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health