Tyra D Durham is a Clinical in Hartford, Connecticut. Tyra D Durham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tyra D Durham is 1629144845. The last update date is 2007-07-08.
Tyra D Durham's current location address is 500 Vine Street, Hartford, Connecticut. You can contact this provider via phone number 8602970905 and fax number 8602970914. The mailing address for Tyra D Durham is 500 Vine Street, Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyra D Durham |
|---|---|
| Address | 500 Vine Street, Hartford, Connecticut |
| Phone Number | 8602970905 |
| Fax Number | 8602970914 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1629144845 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 500 Vine Street |
|---|---|
| City | Hartford |
| State | Connecticut (CT) |
| Post Code | 6112 |
| Phone Number | 8602970905 |
| Fax Number | 8602970914 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6165 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tyra D Durham by the Centers for Medicare & Medicaid Services?
The Tyra D Durham has been assigned the NPI (National Provider Identifier) 1629144845 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Tyra D Durham's physical address?
The Tyra D Durham is physically located at 500 Vine Street, in the city of Hartford, CT, with the postal code 6112.
What is the Tyra D Durham's specialty and taxonomy code?
The Tyra D Durham's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Tyra D Durham receive its 1629144845 assignment from the Centers for Medicare & Medicaid Services?
The Tyra D Durham was assigned its 1629144845 on 2006-11-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Tyra D Durham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tyra D Durham, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.