Individual
KENNETH DAVID SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
15 LAUREL WOODS RD, WOODBURY, CT 06798-2516
(203) 263-0290
(203) 263-0290
Mailing address
15 LAUREL WOODS RD, WOODBURY, CT 06798-2516
(203) 263-0290
(203) 263-0290
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000673
CT
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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