Individual
KIMBERLY HENDERSON-KJELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1097 FARMINGTON AVE, BERLIN, CT 06037-2241
(860) 836-7553
Mailing address
1097 FARMINGTON AVE, BERLIN, CT 06037-2241
(860) 836-7553
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
002808
CT
103TC0700X
Clinical Psychologist
Primary
002808
CT
Other
Enumeration date
10/06/2006
Last updated
03/17/2018
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