Tedesco, Marybeth

Tedesco, Marybeth is an individual health care provider with primary practice located at 127 Migeon Ave , Torrington CT 06790-4816. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Tedesco, Marybeth can be contacted via phone (860) 496-2105.

Contact Information

Primary practice address
127 Migeon Ave Torrington CT 06790-4816
Phone: (860) 496-2105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1540 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 6879 Connecticut

Profile Details

NPI number 1255193983
LBN Legal business name Tedesco, Marybeth
Credentials LADC, LPC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2024
Last updated Jan 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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