Melissa P. Divito in Middletown - Addiction (substance Use Disorder)
Melissa P. Divito - NPI 1437376597
Melissa P. Divito is a Addiction (substance Use Disorder) in Middletown, Connecticut. Melissa P. Divito practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Melissa P. Divito is 1437376597. The last update date is 2007-07-08.
Melissa P. Divito's current location address is 11 S Main St, Middletown, Connecticut. You can contact this provider via phone number 8607040300 and fax number 8603439144. The mailing address for Melissa P. Divito is 11 S Main St, Middletown, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa P. Divito |
|---|---|
| Address | 11 S Main St, Middletown, Connecticut |
| Phone Number | 8607040300 |
| Fax Number | 8603439144 |
| Sole Proprietor | Y |
| Credentials | M.S., LPC |
NPI Number Detail
| NPI Number | 1437376597 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11 S Main St |
|---|---|
| City | Middletown |
| State | Connecticut (CT) |
| Post Code | 64573656 |
| Phone Number | 8607040300 |
| Fax Number | 8603439144 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 84 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique provider identifier assigned to Melissa P. Divito?
The Melissa P. Divito has been issued the NPI (National Provider Identifier) 1437376597 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Melissa P. Divito?
The Melissa P. Divito is situated at 11 S Main St, in the city of Middletown, state of CT, with the zip code 64573656.
What is the Melissa P. Divito's specialty and taxonomy code?
The Melissa P. Divito's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did Melissa P. Divito receive its 1437376597 assignment from the Centers for Medicare & Medicaid Services?
The Melissa P. Divito was assigned its 1437376597 on 2007-04-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Melissa P. Divito's information last updated?
The Melissa P. Divito's information was last updated on 2007-07-08.