Individual
DR. ROBERT MARTIN KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
295 WASHINGTON AVENUE, SUITE 9, HAMDEN, CT 06518-3025
(203) 287-8227
(203) 287-9502
Mailing address
295 WASHINGTON AVENUE, SUITE 9, HAMDEN, CT 06518-3025
(203) 287-8227
(203) 287-9502
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
813
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060000813CT01
ANTHEM BCBS
—
Enumeration date
08/09/2006
Last updated
02/14/2012
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