Provider Demographics
NPI:1801320858
Name:VERRONE, ROBIN L (LPC)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:VERRONE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 DEERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06070-2627
Mailing Address - Country:US
Mailing Address - Phone:860-841-9977
Mailing Address - Fax:
Practice Address - Street 1:50 ALBANY TPKE STE 3010
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:CT
Practice Address - Zip Code:06019-2555
Practice Address - Country:US
Practice Address - Phone:860-841-9977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-17
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001553101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional