Individual
DR. LARA JANE KAPLAN GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
175 COPSE RD, MADISON, CT 06443-2323
(203) 245-2778
Mailing address
20 FARM VIEW DR, MADISON, CT 06443-1631
(203) 710-5081
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003517
CT
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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