Organization
KATHIE H. MOFFITT PHD
Active
Organization
KATHIE H. MOFFITT PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHIE H MOFFITT PHD (OWNER)
(860) 970-7782
Entity
Organization
Contact information
Practice address
148 EASTERN BLVD STE 306, GLASTONBURY, CT 06033-4321
(860) 970-7782
Mailing address
PO BOX 3028, VERNON, CT 06066-1928
(860) 970-7782
(860) 812-2252
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2984
CT
Other
Enumeration date
06/28/2016
Last updated
06/30/2021
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