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NPI Code Detail

MEDICARE: EMMANUEL IHEMEDU

MEDICARE:   EMMANUEL  IHEMEDU
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 Counselor007209CT

General Provider Information

NPI Number : 1285915330
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMANUEL IHEMEDU
Provider Business Mailing Address
First Line : 107 E MAIN ST
Second Line :
City : TORRINGTON
State : CT
Zip : 06790-5425
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 107 E MAIN ST
Second Line :
City : TORRINGTON
State : CT
Zip : 06790-5425
Country : US
Telephone Number : 860-500-1315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2011
Last Update Date : 08/02/2024

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Directions to “ EMMANUEL IHEMEDU ” Practice Location

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