Individual
KATHLEEN SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-4966
Mailing address
1 WAHOO AVE, GROTON, CT 06349-2324
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4432
CT
Other
Enumeration date
07/28/2023
Last updated
08/24/2023
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