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Heather Massicotte

NPI 1952184848 · on the registry since 2023

Practice

Address
421 Levita Rd
Lebanon, CT 06249
Phone
(860) 428-0405

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-15

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