Individual
KRIS L SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-4966
Mailing address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(732) 771-5819
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008657
VA
103TC0700X
Clinical Psychologist
5247
CT
Other
Enumeration date
04/20/2021
Last updated
11/04/2025
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