Provider Demographics
NPI:1902834120
Name:BREWSTER, ROBERT DOUGLAS (LPC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:DOUGLAS
Last Name:BREWSTER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5050 QUORUM DR
Mailing Address - Street 2:SUITE 700
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7564
Mailing Address - Country:US
Mailing Address - Phone:214-693-6744
Mailing Address - Fax:972-687-9001
Practice Address - Street 1:5050 QUORUM DR
Practice Address - Street 2:SUITE 700
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7564
Practice Address - Country:US
Practice Address - Phone:214-693-6744
Practice Address - Fax:972-687-9001
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19305101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional