| Mdk Therapeutic Consulting Services Llc | |
|
14 Grandview Dr Danbury CT 06811-4321 | |
| (475) 218-3099 | |
| Not Available |
| Full Name | Mdk Therapeutic Consulting Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 14 Grandview Dr, Danbury, Connecticut |
| Authorized Official Name and Position | Megan Duffy Knight (OWNER) |
| Authorized Official Contact | 4752183099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdk Therapeutic Consulting Services Llc 14 Grandview Dr Danbury CT 06811-4321 Ph: (475) 218-3099 | Mdk Therapeutic Consulting Services Llc 14 Grandview Dr Danbury CT 06811-4321 Ph: (475) 218-3099 |
| NPI Number | 1174269948 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 07/11/2022 |
| Certification Date | 07/11/2022 |
| Medicare PECOS PAC ID | 4183004971 |
|---|---|
| Medicare Enrollment ID | O20220711003038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174269948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Megan Duffy Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215673066 PECOS PAC ID: 5092195883 Enrollment ID: I20220711003056 |
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