Organization
DR. KATHERINE BOTHOS, LLC
Active
Organization
DR. KATHERINE BOTHOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE BOTHOS (CLINICAL PSYCHOLOGIST)
(203) 838-8344
Entity
Organization
Contact information
Practice address
170 POST RD STE 208, FAIRFIELD, CT 06824-6242
(203) 455-3736
Mailing address
704 THORME ST, BRIDGEPORT, CT 06606-4022
(203) 838-8344
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002950
CT
Other
Enumeration date
05/29/2010
Last updated
07/08/2019
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