Individual
DR. KEVIN COLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
141 ELM ST, CHESHIRE, CT 06410
(203) 232-7956
(203) 298-6254
Mailing address
1393 DIAMOND HILL RD, CHESHIRE, CT 06410-1899
(203) 232-7956
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3129
CT
103TC0700X
Clinical Psychologist
Primary
003129
CT
103TC2200X
Clinical Child & Adolescent Psychologist
003129
CT
103TF0000X
Family Psychologist
003129
CT
103TF0200X
Forensic Psychologist
003129
CT
Other
Enumeration date
02/28/2017
Last updated
07/29/2022
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