| Organization Name: | MICHELLE M NITTO, PSY.D. LLC |
| NPI Number: | 1023154689 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE NITTO LEVEILLE (MANAGING MEMBER) |
| Mailing Address: | 750 Old Main St Suite 306 Rocky Hill |
| State: | CT US |
| Postal Code: | 060671567 |
| Phone Number: | 8605247538 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 12/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 002454 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |