Organization
NEW ENGLAND NEUROPSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PATRICK YOUNG PH.D. (CLINICAL PSYCHOLOGIST)
(860) 415-6463
Entity
Organization
Contact information
Practice address
200 RETREAT AVE, 5TH FLOOR RESEARCH BUILDING, HARTFORD, CT 06106
(860) 415-6463
Mailing address
200 RETREAT AVE, 5TH FLOOR RESEARCH BUILDING, HARTFORD, CT 06106
(860) 415-6463
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3219
CT
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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