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NPI Code Detail

MEDICARE: DEBRA S MACHT L.P.C.

MEDICARE: DEBRA S MACHT L.P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor000173CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000173OTHERCTLICENSED PRO COUNSELOR

General Provider Information

NPI Number : 1316902638
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA S MACHT L.P.C.
Provider Business Mailing Address
First Line : 141 GREAT POND RD
Second Line :
City : S GLASTONBURY
State : CT
Zip : 06073-3105
Country : US
Telephone Number : 860-659-2930
Fax Number :
Provider Business Practice Location Address
First Line : 150 N MAIN ST
Second Line :
City : MANCHESTER
State : CT
Zip : 06042-2003
Country : US
Telephone Number : 860-646-1222
Fax Number : 860-647-6829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 07/08/2007

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Directions to “ DEBRA S MACHT L.P.C.” Practice Location

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