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NPI Code Detail

MEDICARE: LEAH RIVERA-TIGHE

MEDICARE: LEAH RIVERA-TIGHE
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 Counselor003640CT

General Provider Information

NPI Number : 1144616517
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH RIVERA-TIGHE
Provider Business Mailing Address
First Line : 331 WETHERSFIELD AVE STE 2
Second Line :
City : HARTFORD
State : CT
Zip : 06114-1438
Country : US
Telephone Number : 860-236-4511
Fax Number : 860-231-8449
Provider Business Practice Location Address
First Line : 331 WETHERSFIELD AVE STE 2
Second Line :
City : HARTFORD
State : CT
Zip : 06114-1438
Country : US
Telephone Number : 860-236-4511
Fax Number : 860-231-8449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2015
Last Update Date : 06/12/2019

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Directions to “ LEAH RIVERA-TIGHE ” Practice Location

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