Individual
DR. KENNETH P. BANGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
91 NORTHWEST DR, WHEELER CLINIC, PLAINVILLE, CT 06062-1534
(860) 793-3816
(860) 793-3591
Mailing address
99 DYER AVE, COLLINSVILLE, CT 06019-3233
(860) 693-1880
(860) 793-3591
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1523
CT
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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