Individual
DR. VAMSI KONERU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
176 W MAIN ST, AVON, CT 06001-4354
(305) 321-5384
Mailing address
176 W MAIN ST, AVON, CT 06001-4354
(305) 321-5384
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003122
CT
Other
Enumeration date
06/28/2011
Last updated
01/24/2012
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