Individual provider · Type 1 NPI

Leah Mattiaccio, PMHNP-BC

Student in an Organized Health Care Education/Training Program · Orange, CT

NPI number 1184340465 Active

Practice location

400 W Campus Dr
Orange, CT 06477-3646

Call (203) 785-2389 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1184340465

Leah Mattiaccio, PMHNP-BC's National Provider Identifier is 1184340465, issued on Oct 18, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange, CT. The record was last updated on Oct 18, 2022.