NPI 1114199387 MARY ANNA STACIE ENFIELD CT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mary Anna Stacie - NPI: 1114199387

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MARY ANNA STACIE
NPI Number: 1114199387
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: 001652
Business Practice Address: 151 Hazard Ave
Enfield, CT - 060824584
Business Phone Number: 8607638044
Business Fax Number: 8602722990
Mailing Address: 151 Hazard Ave,
ENFIELD
State: CT
Postal Code: 060824584
Phone Number: 8607638044
Fax Number: 8602722990
NPI Enumeration Date: 03/28/2008
NPI Last Update Date: 05/28/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YP2500X
License Number: 001652
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CT
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Professional
Taxonomy Definition:


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