Walter Iwanicki, MSW

NPI 1326107780 · on the registry since 2006 · sole proprietor

Practice

Address: 567 Vauxhall Street Ext
Ste.326
Waterford, CT 06385
Phone: (860) 443-0676
Organisation at this address: Moxie Therapy Llc
567 Vauxhall, Llc
Waterford Pediatrics
Helping You Heal Pllc
Advanced Options, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 36

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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