Provider Demographics
NPI:1265781256
Name:TAPIA, MARCIA XIMENA (BA)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:XIMENA
Last Name:TAPIA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 RAINBOW RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-1164
Mailing Address - Country:US
Mailing Address - Phone:203-213-2960
Mailing Address - Fax:
Practice Address - Street 1:114 RAINBOW RD
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-1164
Practice Address - Country:US
Practice Address - Phone:203-213-2960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health