Melissa Lyn Wyskiel, OTR/L
Individual provider Active NPI Occupational Therapist · East Haddam, CT
NPI 1689089260 · NPPES record last updated Jun 23, 2014
Key facts
- NPI
- 1689089260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 004157 (CT)
- Practice address
- 534 Town St
East Haddam, CT 06423-1390 - Phone
- (860) 873-6547
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004157 | CT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 004157 | CT | Yes |
Addresses
Primary practice location
534 Town St
East Haddam, CT 06423-1390
Mailing address
32 Edgewood CT
Middlefield, CT 06455-1219
Phone (860) 759-0076
Other providers in East Haddam, CT
All providers in East Haddam, CT · Occupational Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.