Provider Demographics
NPI:1902118326
Name:DENKIN, ROBERT S (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:DENKIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 LOCUST AVE
Mailing Address - Street 2:SUITE 302A
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-4739
Mailing Address - Country:US
Mailing Address - Phone:203-966-9445
Mailing Address - Fax:
Practice Address - Street 1:51 LOCUST AVE
Practice Address - Street 2:SUITE 302A
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-4739
Practice Address - Country:US
Practice Address - Phone:203-966-9445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19705103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical