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Organization

SUFFIELD PSYCHOLOGY ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN A. KAGEL PH.D. (MANAGING PARTNER)
(860) 668-4342
Entity
Organization

Contact information

Practice address
133 MOUNTAIN RD, SUFFIELD, CT 06078-2084
(860) 668-4342
Mailing address
133 MOUNTAIN RD, SUFFIELD, CT 06078-2084
(860) 668-4342

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1250
CT
103T00000X
Psychologist
1269
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4070330
CT
01
C0009465
CHAMPUS
CT
Enumeration date
11/11/2006
Last updated
08/22/2020
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