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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