Individual
DAWNE RECINOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
460 NEW BRITAIN RD, SUITE #101, KENSINGTON, CT 06037-1323
(860) 838-2068
(860) 838-2068
Mailing address
578 WORTHINGTON RDG, BERLIN, CT 06037-2333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002687
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002687CT01
ANTHEM BC/BS
CT
01
—
11565623
CAQH UNIVERSAL CREDENTIAL
CT
Enumeration date
09/17/2006
Last updated
10/09/2010
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