| Fortaleza Therapeutic Services, Pllc | |
|
1767 Summer St Ste 2 Stamford CT 06905-5123 | |
| (203) 658-7813 | |
| Not Available |
| Full Name | Fortaleza Therapeutic Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1767 Summer St Ste 2, Stamford, Connecticut |
| Authorized Official Name and Position | Mildred Hungria (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3476774841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortaleza Therapeutic Services, Pllc 1767 Summer St Ste 2 Stamford CT 06905-5123 Ph: (203) 658-7813 | Fortaleza Therapeutic Services, Pllc 1767 Summer St Ste 2 Stamford CT 06905-5123 Ph: (203) 658-7813 |
| NPI Number | 1023663812 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 08/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023663812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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