Individual
FIONA C KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106
(860) 545-2793
Mailing address
HARTFORD HOSPITAL PROFESSIONAL SERVICES, PO BOX 40,000 DEPT 634, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
002221
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008022212
—
CT
Enumeration date
08/23/2006
Last updated
02/25/2008
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