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Organization

KEVIN R. CONTER, PH.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN R CONTER PHD (PRESIDENT)
(860) 646-9660
Entity
Organization

Contact information

Practice address
200 MAIN ST, MANCHESTER, CT 06042-3581
(860) 646-9660
(860) 643-4074
Mailing address
200 MAIN ST, MANCHESTER, CT 06042-3581

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
000963
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004053344
CT
Enumeration date
12/31/2010
Last updated
12/31/2010
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