# MARTHA MICHAUD

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

## Provider details

- **NPI number:** 1992413843
- **Authorized official:** MS. MARTHA JEAN MICHAUD LMFT (THERAPIST)
- **Authorized official phone:** (860) 498-8403

## Contact information

- **Practice address:** 881 SWAMP RD, COVENTRY, CT 06238-1440
- **Practice address phone:** (860) 929-0061
- **Mailing address:** 881 SWAMP RD, COVENTRY, CT 06238-1440
- **Mailing address phone:** (860) 929-0061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2022
- **Last updated:** 11/09/2022