| Leon Tec | |
|
11 Rockyfield Rd Westport CT 06880-2202 | |
| (203) 227-1331 | |
| (203) 227-2439 |
| Full Name | Leon Tec |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11 Rockyfield Rd, Westport, Connecticut |
| Authorized Official Name and Position | Sophia B Carlsson (MEDICAL BILLER) |
| Authorized Official Contact | 2033221479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leon Tec 11 Rockyfield Rd Westport CT 06880-2202 Ph: (203) 227-1331 | Leon Tec 11 Rockyfield Rd Westport CT 06880-2202 Ph: (203) 227-1331 |
| NPI Number | 1649417510 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 01/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649417510 | NPI | - | NPPES |
| 260000153 | Other | CT | 060862585 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 09529 (Connecticut) | Primary |
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