Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Yates Crockett

Individual provider Specialist · NPI 1003377151

Justin Yates Crockett is a Specialist in Brattleboro, Vermont. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

51 Fairviewstreet
Brattleboro, VT 05301-2579
Phone: (802) 254-6028
Fax: (802) 254-7501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1003377151
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2019
Last updated in NPPESJuly 16, 2024
Mailing address390 River Street, Springfield, VT 05156-2226

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