Individual
DR. JESSICA DANIELLE BIREN CAVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2 OLD NEW MILFORD RD, 1E, BROOKFIELD, CT 06804-2426
(203) 885-0500
(203) 702-5345
Mailing address
2 OLD NEW MILFORD RD, 1E, BROOKFIELD, CT 06804-2647
(203) 885-0500
(203) 702-5345
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3248
CT
103T00000X
Psychologist
3248
CT
103TB0200X
Cognitive & Behavioral Psychologist
3248
CT
103TC0700X
Clinical Psychologist
3248
CT
103TC0700X
Clinical Psychologist
Primary
9367
MA
103TC2200X
Clinical Child & Adolescent Psychologist
3248
CT
103TF0200X
Forensic Psychologist
3248
CT
103TH0004X
Health Psychologist
3248
CT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3248
CT
Other
Enumeration date
09/18/2008
Last updated
10/05/2014
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