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Leah Mattiaccio, PMHNP-BC
Student in an Organized Health Care Education/Training Program in Orange, Connecticut
NPI 1184340465

Leah Mattiaccio is a Student in an Organized Health Care Education/Training Program based in Orange, CT. Leah Mattiaccio practices in Orange, CT and has the professional credentials of PMHNP-BC. The NPI Number for Leah Mattiaccio is 1184340465 and holds a License No. (Connecticut).

The current practice location address for Leah Mattiaccio is 400 W Campus Dr, Orange, CT and can be reached out via phone at 203-785-2389.

Location: 400 W Campus Dr, Orange, CT, 06477-3646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184340465
Provider Name
Leah Mattiaccio
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
400 W Campus Dr, Orange, CT, 06477-3646
Phone Number
203-785-2389
Fax Number
Provider Enumeration Date
10/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 W Campus Dr
City
Orange
State
Connecticut
Zip
06477-3646
Phone Number
203-785-2389
Fax Number
person
Provider Business Mailing Address Details
Address
400 W Campus Dr
City
Orange
State
Connecticut
Zip
06477-3646
Phone Number
203-785-2389
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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