Individual
KEVIN K TSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
282 WASHINGTON STREET, CONNECTICUT CHILDREN'S MEDICAL CENTER, HARTFORD, CT 06106-5037
(860) 545-8660
Mailing address
P.O. BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3060
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008030603
—
CT
Enumeration date
10/01/2010
Last updated
04/21/2011
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