Provider Demographics
NPI:1578382461
Name:HSIUNG, I-TING (MT-BC)
Entity type:Individual
Prefix:
First Name:I-TING
Middle Name:
Last Name:HSIUNG
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:HSIUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:222 BRADLEY AVE APT 7-2A
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-4437
Mailing Address - Country:US
Mailing Address - Phone:217-979-8927
Mailing Address - Fax:
Practice Address - Street 1:196 QUEEN ST
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-1901
Practice Address - Country:US
Practice Address - Phone:860-518-5557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist