Individual
KATHLEEN KIELY GOULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
128 EAST AVENUE, SUITE 4, NORWALK, CT 06851
(203) 857-0022
Mailing address
128 EAST AVENUE, SUITE 4, NORWALK, CT 06851
(203) 857-0022
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
CT002852
CT
103TC0700X
Clinical Psychologist
NY015051
NY
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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