Individual
MR. TYLER MASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
64 WIG HILL RD, CHESTER, CT 06412-1124
(860) 917-5785
Mailing address
64 WIG HILL RD, CHESTER, CT 06412-1124
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1810
CT
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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