Tyler Massie, LMFT
Individual provider Active NPI Marriage & Family Therapist · Chester, CT
NPI 1831541937 · NPPES record last updated Jul 13, 2016
Key facts
- NPI
- 1831541937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1810 (CT)
- Practice address
- 64 Wig Hill Rd
Chester, CT 06412-1124 - Phone
- (860) 917-5785
- NPI assigned
- Jul 13, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 1810 | CT | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1810 | CT | Yes |
Addresses
Primary practice location
64 Wig Hill Rd
Chester, CT 06412-1124
Mailing address
64 Wig Hill Rd
Chester, CT 06412-1124
Other providers in Chester, CT
- Christopher J Kearns
- Angel K Kendrick
- Lisa Landow
- Pamela Lape
- Seniel Lucien
- Rachael McGann
- Lindsey McKeon
- MHS Primary Care, Inc
- Deborah Minor
- Russell J Munson
All providers in Chester, CT · Marriage & Family 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 Jul 13, 2016. 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.