Organization
MEDITELECARE OF WASHINGTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA P TROJANOWSKI (DIRECTOR OF REVENUE CYCLE)
(860) 788-6404
Entity
Organization
Contact information
Practice address
300 DESCHUTES WAY SW STE 208, TUMWATER, WA 98501-7719
(860) 788-6404
(860) 829-0495
Mailing address
213 COURT ST FL 6, MIDDLETOWN, CT 06457-3346
(860) 788-6404
(860) 829-0495
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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