Individual
KIMBERLY HO MISIASZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 S FRONTAGE RD, NEW HAVEN, CT 06519-1124
(203) 785-2308
Mailing address
230 S FRONTAGE RD, NEW HAVEN, CT 06519-1124
(203) 785-2308
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
03/31/2019
Last updated
03/31/2019
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