Individual
DR. COLLEEN KELLER DREYFUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
191 FRANKLIN AVE, HARTFORD, CT 06114-1386
(860) 571-3880
Mailing address
122 D WEST MAIN STREET, STAFFORD SPRINGS, CT 06076
(860) 684-2350
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001802
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001802CT03
ANTHEM
—
01
—
080315
MHN
—
01
—
121201
COMPYSCH
—
01
—
6151571
UBH
—
01
—
741694
MAGELLAN
—
01
—
845341
FIRST HEALTH
—
01
—
C009513
CHAMPUS
—
01
—
ZS284
OXFORD
—
Enumeration date
12/04/2006
Last updated
01/30/2008
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