Organization
KRISTEN LATHROP, PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN LATHROP PSYD (PSYCHOLOGIST)
(860) 920-5101
Entity
Organization
Contact information
Practice address
750 MAIN ST, SUITE 1008E, HARTFORD, CT 06103-2703
(860) 920-5101
Mailing address
750 MAIN ST, SUITE 1008E, HARTFORD, CT 06103-2703
(860) 920-5101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002695
CT
103TC2200X
Clinical Child & Adolescent Psychologist
002695
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008003265
—
CT
Enumeration date
11/19/2009
Last updated
11/19/2009
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