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Individual

DR. THALIA KOMNINOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
78 TRIANGLE ST., I-4, DANBURY, CT 06810
(203) 448-3194
Mailing address
78 TRIANGLE ST., I-4, DANBURY, CT 06810
(203) 448-3194

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
003213
CT
103TC0700X
Clinical Psychologist
003213
CT

Other

Enumeration date
08/19/2013
Last updated
08/19/2013
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