Organization
COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS, LLC
Active
Organization
COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH LECHNER (BILLING LEAD)
(203) 732-1580
Entity
Organization
Contact information
Practice address
130 DIVISION STREET, DERBY, CT 06418
(203) 732-1570
(203) 732-1576
Mailing address
130 DIVISION STREET, DERBY, CT 06418
(203) 732-1570
(203) 732-1576
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004176667
—
CT
05
—
004224367
—
CT
05
—
004230108
—
CT
05
—
004242806
—
CT
Enumeration date
04/30/2007
Last updated
05/03/2013
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