Individual
KEVIN MERTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
17 FLAHERTY RD, STORRS, CT 06268-2301
(860) 617-0510
Mailing address
1401 AUTUMN CHASE, ELLINGTON, CT 06029-3747
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002722
CT
Other
Enumeration date
12/01/2006
Last updated
04/16/2013
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