Individual
KELLY PANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2389 MAIN ST STE 100, GLASTONBURY, CT 06033-4617
(860) 266-7872
Mailing address
2389 MAIN ST STE 100, GLASTONBURY, CT 06033-4617
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004309
CT
Other
Enumeration date
08/02/2012
Last updated
11/11/2024
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