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Contact Information

DANIEL R BROCKETT, PhD
2 POMPERAUG OFFICE PARK
SUITE 206-D
SOUTHBURY, CT06488-2288
 Phone: 203-264-3050
 Fax: 203-264-2426
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for DANIEL R BROCKETT · (Male)

NPI # 1801921333
Status Active
Credentials PhD
Entity Individual
Enumeration date 02/23/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 001851
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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