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Individual

DR. KATHLEEN CAROLYN WAWRZYNIAK WEBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
34 DALE RD, SUITE 212, AVON, CT 06001-3659
(860) 878-2028
Mailing address
34 DALE RD, SUITE 212, AVON, CT 06001-3659
(860) 878-2028

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
3003
CT
103TC0700X
Clinical Psychologist
3003
CT
103TC2200X
Clinical Child & Adolescent Psychologist
3003
CT
103TF0000X
Family Psychologist
Primary
3003
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CBHP005780
CT
Enumeration date
04/06/2007
Last updated
01/02/2014
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