Individual
KENNETH ANDREW COLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
146 HAZARD AVENUE, SUITE 206, ENFIELD, CT 06082
(860) 763-3602
(860) 749-1456
Mailing address
146 HAZARD AVENUE, SUITE 206, ENFIELD, CT 06082
(860) 763-3602
(860) 749-1456
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000474
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4007845
—
CT
Enumeration date
08/22/2006
Last updated
07/08/2007
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