Organization
TYLER MASSIE LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER MASSIE LMFT (OWNER)
(860) 532-0095
Entity
Organization
Contact information
Practice address
80 PLAINS ROAD, ESSEX, CT 06426-1085
(860) 532-0095
Mailing address
51 FAIRY DELL RD, CLINTON, CT 06413-2403
(203) 506-8323
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
1810
CT
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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