Active NPIIndividual provider

Grizelle E Medina-Diaz

Art Therapist in Watertown, Connecticut

NPI Number1164179677
Practice location
680 Main St Ste 305, Watertown, CT 06795-2656
Fax
—
Last updated
March 4, 2022

Grizelle Esther Medina-Diaz is an Art Therapist based in Watertown, CT. Grizelle Esther Medina-Diaz practices in Watertown, CT. The NPI Number for Grizelle Esther Medina-Diaz is 1164179677. The current practice location address for Grizelle Esther Medina-Diaz is 680 Main St Ste 305, Watertown, CT 06795-2656 and can be reached out via phone at 203-707-8962.

Provider Profile Details

NPI Number
1164179677
Provider Name
Grizelle Esther Medina-Diaz
Provider Entity Type
Individual
Gender
Female
Address
680 Main St Ste 305, Watertown, CT 06795-2656
Phone Number
203-707-8962
Primary Taxonomy
Art Therapist · 221700000X
Sole Proprietor
No
Provider Enumeration Date
March 4, 2022
Last Update Date
March 4, 2022
Certification Date
March 4, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
680 Main St Ste 305
Watertown, CT 06795-2656
Zip
06795-2656
Phone Number
203-707-8962
Watertown, CT 06795Get directions →

Provider Business Mailing Address Details

Address
118 Hart St Apt 1W
New Britain, CT 06052-2105
City
New Britain
State
CT
Zip
06052-2105

License Information

Taxonomy
Art Therapist · 221700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Grizelle E Medina-Diaz?

The NPI number of Grizelle E Medina-Diaz is 1164179677. It was assigned on March 4, 2022 and is currently active in the NPPES registry.

What is the specialty of Grizelle E Medina-Diaz?

Grizelle E Medina-Diaz is registered under the primary taxonomy Art Therapist (code 221700000X).

Where does Grizelle E Medina-Diaz practice?

The practice location is 680 Main St Ste 305, Watertown, CT 06795-2656. The office can be reached at 203-707-8962 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164179677 directly on the NPPES registry website.

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