# MICHAEL VALALIK PMHNP BC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104298298
- **Authorized official:** MICHAEL VALALIK PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (203) 640-1563

## Contact information

- **Practice address:** 770 SAYBROOK RD BLDG B, MIDDLETOWN, CT 06457-4739
- **Practice address phone:** (203) 640-1563
- **Mailing address:** PO BOX 2486, MIDDLETOWN, CT 06457-0034
- **Mailing address phone:** (203) 640-1563
- **Mailing address fax:** (203) 774-1161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 6276 | CT | Yes |

## Other

- **Enumeration date:** 10/28/2015
- **Last updated:** 08/26/2021