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NPI Code Detail

MEDICARE: NANCY MARTIN LMFT

MEDICARE: NANCY MARTIN LMFT
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
1106H00000XMarriage & Family Therapist000827CT

General Provider Information

NPI Number : 1790907921
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY MARTIN LMFT
Provider Business Mailing Address
First Line : 128 GARDEN ST
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-2254
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 128 GARDEN ST
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-2254
Country : US
Telephone Number : 860-676-1134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/08/2007

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Directions to “ NANCY MARTIN LMFT” Practice Location

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