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Individual

DR. MICHAELA U KAUFFMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
133 SCOVILL ST, SUITE 211, WATERBURY, CT 06706-1127
(203) 573-9521
(203) 573-8708
Mailing address
133 SCOVILL ST, SUITE 211, WATERBURY, CT 06706-1127
(203) 573-9521
(203) 573-8708

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001965
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004144333
CT
01
060001965CT01
BLUE SHIELD
CT
Enumeration date
08/30/2006
Last updated
09/02/2010
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