Search › Connecticut › 101YP2500X
Tylice Macdonald
NPI 1528582830 · on the registry since 2017
Practice
- Address
- 170 Bennett Street
Bridgeport, CT 06605 - Phone
- (203) 330-6790
- Organisation at this address
- Boys & Girls Village
Boys And Girls Village
Boys And Girls Village
Boys And Girls Village, , Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 70
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Sex
- Female
- Record last updated
- 2022-07-21
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