NPI 1003356130

Tyler Massie Lmft

Organisation Point of Service Essex, CT

Practice location

Address: 80 Plains Road, Essex, CT 06426-1085
Phone: (860) 532-0095
Mailing address: 51 Fairy Dell Rd, Clinton, CT 06413-2403

Authorised official

Name: Tyler Massie
Title: Owner
Phone: (860) 532-0095

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 1810 (CT)

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Registry record

NPI: 1003356130
Entity type: Organization
NPI issued: 8 Mar 2017
Record last updated: 8 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.