MS. MARJORIE A MICHALSKI


Address: 10 N Main St, Suite 305, W Hartford, CT 06107
Phone: 8605211632

MS. MARJORIE A MICHALSKI (NPI# 1770653826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770653826
Entity Type Individual
Full Name MS. MARJORIE A MICHALSKI
Credential LCSW
Practice Address 10 N Main St
Suite 305
W Hartford
CT 06107
Mailing Address 10 N Main St
Suite 305
West Hartford
CT 06107
Practice Telephone 8605211632
Mailing Telephone 8605211632
Enumeration Date 2006-11-08
Last Update Date 2013-05-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist CT 121 CT Behavioral Health & Social Service Providers
Y 103TP2701X Psychologist
Specialization: Group Psychotherapy
121 CT Behavioral Health & Social Service Providers

Office Location

Street Address 10 N MAIN ST
SUITE 305
City W HARTFORD
State CT
Zip Code 06107

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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

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Competitor

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City W HARTFORD
Zip Code 06107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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