Individual
DR. SMITH EDDIE KIDKARNDEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., HSP
Contact information
Practice address
41C NEW LONDON TPKE, GLASTONBURY, CT 06033-4206
(860) 288-7041
Mailing address
181 NORTH ST, HEBRON, CT 06248-1125
(917) 445-6423
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3542
CT
Other
Enumeration date
01/19/2015
Last updated
06/24/2021
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