Individual
BETH M KARASSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1095 S MAIN ST, CHESHIRE, CT 06410-3432
(203) 271-3809
(203) 272-6968
Mailing address
1095 S MAIN ST, CHESHIRE, CT 06410-3432
(203) 271-3809
(203) 272-6968
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001832
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004093233
—
CT
01
—
060001832CT01
ANTHEM BLUE CROSS PROV #
CT
Enumeration date
08/22/2006
Last updated
04/04/2013
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