| Michelle M Nitto, Psy.d. Llc | |
|
750 Old Main St Suite 306 Rocky Hill CT 06067-1567 | |
| (860) 524-7538 | |
| Not Available |
| Full Name | Michelle M Nitto, Psy.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 750 Old Main St, Rocky Hill, Connecticut |
| Authorized Official Name and Position | Michelle Nitto Leveille (MANAGING MEMBER) |
| Authorized Official Contact | 8605247538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle M Nitto, Psy.d. Llc 97 Whittlesey Rd Woodbury CT 06798-2535 Ph: (203) 510-1494 | Michelle M Nitto, Psy.d. Llc 750 Old Main St Suite 306 Rocky Hill CT 06067-1567 Ph: (860) 524-7538 |
| NPI Number | 1023154689 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 12/31/2007 |
| Medicare PECOS PAC ID | 8426063843 |
|---|---|
| Medicare Enrollment ID | O20060207000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023154689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 002454 (Connecticut) | Primary |
| Provider Name | Michelle N Leveille |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184604381 PECOS PAC ID: 8729073523 Enrollment ID: I20040420000548 |
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