Individual
EDWARD KRAVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
30 QUAKER FARMS RD, SOUTHBURY, CT 06488-2732
(203) 687-6429
(203) 687-6429
Mailing address
51 HAWLEY AVE, MILFORD, CT 06460-8113
(203) 687-6429
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001751
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004136471
—
CT
Enumeration date
06/05/2006
Last updated
05/05/2008
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