Individual
DANIELLE GAYLE KOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106-3310
(860) 545-7940
Mailing address
P.O. BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS01181
RI
103TC0700X
Clinical Psychologist
Primary
003149
CT
103TC0700X
Clinical Psychologist
PS01181
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008031494
—
CT
Enumeration date
09/18/2008
Last updated
02/29/2012
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