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Individual

DR. KURT CHARLES BELLHORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
148 EASTERN BLVD, SUITE 306, GLASTONBURY, CT 06033-4321
(860) 468-9135
(860) 652-8300
Mailing address
14 SHERWOOD LN, MARLBOROUGH, CT 06447-1456
(860) 468-9135
(860) 652-8300

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
001690
CT
103TC0700X
Clinical Psychologist
001690
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4126555
CT
Enumeration date
04/10/2006
Last updated
05/20/2011
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