Individual provider · Type 1 NPI
Justin Yates Crockett
Specialist · Brattleboro, VT
NPI number
1003377151
Active
Practice location
51 Fairviewstreet
Brattleboro, VT 05301-2579
Fax (802) 254-7501
Mailing address
390 River Street
Springfield, VT 05156-2226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Brattleboro
About NPI 1003377151
Justin Yates Crockett's National Provider Identifier is 1003377151, issued on Mar 29, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brattleboro, VT. The record was last updated on Jul 16, 2024.