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NPI Code Detail

MEDICARE: TERRY MCEACHNIE LPC

MEDICARE:   TERRY  MCEACHNIE  LPC
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 Counselor3434CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790988707
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRY MCEACHNIE LPC
Provider Business Mailing Address
First Line : 91 GOODYEAR ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-1010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 226 DIXWELL AVE
Second Line : NORTHSIDE
City : NEW HAVEN
State : CT
Zip : 06511-3456
Country : US
Telephone Number : 203-503-3470
Fax Number : 203-503-3478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2007
Last Update Date : 01/27/2020

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Directions to “ TERRY MCEACHNIE LPC” Practice Location

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