Individual
DR. THOMAS S KOCIENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
24 WOLCOTT HILL RD, WETHERSFIELD, CT 06109-1152
(860) 692-7840
Mailing address
387 PATRIOT RD, SOUTHBURY, CT 06488-3218
(203) 232-2003
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002479
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004242434
—
CT
Enumeration date
01/04/2007
Last updated
04/12/2024
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