Individual
REBECCA TYDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 N FRONTAGE RD STE 24, NEW LONDON, CT 06320-2628
(860) 442-4319
Mailing address
351 N FRONTAGE RD STE 24, NEW LONDON, CT 06320-2628
(860) 442-4319
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2066
CT
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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