Search › Connecticut › 363A00000X
Tecshana Blackwood, PA
NPI 1124550983 · on the registry since 2017
Practice
- Address
- 1 Long Wharf Dr Ste 212
New Haven, CT 06511 - Phone
- (203) 624-4208
- Fax
- (203) 624-4301
- Organisation at this address
- Cmhc (Satu)
Biometrics Inc
John M Willett Md
Apt Foundation Inc
Apt Foundation IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 218
Additional practice sites
- 86 Ridgely Ave, Fairfield, CT
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 146D00000X
363A00000X
363AM0700X - Licence states on file
- NY, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut