SearchConnecticut101YA0400X

Gordon Lyde, CAC, CADC

NPI 1346873767 · on the registry since 2020 · sole proprietor

Practice

Address
76 Jackson St
Torrington, CT 06790
Phone
(860) 491-8511

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-13

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