Individual
KATHLEEN X TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
279 NEW BRITAIN RD, BERLIN, CT 06037-3165
(860) 827-9364
(860) 505-8120
Mailing address
279 NEW BRITAIN RD, BERLIN, CT 06037-3165
(860) 827-9364
(860) 505-8120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
001342
CT
103K00000X
Behavior Analyst
Primary
1-12-11782
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042585448
—
CT
Enumeration date
11/01/2006
Last updated
03/06/2015
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