TERA FAZZINO
NPI 1609039809
Counselor - Mental Health in Manchester, CT
Active since July 08, 2008
About Tera Fazzino NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERA FAZZINO (NPI 1609039809) is an individual mental health provider in Manchester, Connecticut and active in the NPI registry since July 2008.
NPPES Registry Identity
NPI1609039809
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTERA FAZZINO
Location Address587 E MIDDLE TPKEManchester, CT 06040-3731
Mailing Address587 E Middle TpkeManchester, CT 06040-3731 · (860) 646-3888 · Fax (860) 645-4132
Phone(860) 646-3888
Fax(860) 645-4132
Sole ProprietorNo
Enumeration DateJuly 8, 2008
✔ NPI 1609039809 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
587 E MIDDLE TPKE, Manchester, CT 06040
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Marriage & Family Therapist
587 E MIDDLE TPKE
MANCHESTER, CT 06040
MANCHESTER, CT 06040
Social Worker (Clinical)
587 E MIDDLE TPKE, CHR GENESIS CENTER
MANCHESTER, CT 06040
MANCHESTER, CT 06040
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609039809, enumerated as an "individual" on July 08, 2008.
The provider is located at 587 E MIDDLE TPKE MANCHESTER, CT 06040 and the phone number is (860) 646-3888.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
