Organization
KEVIN O'SHEA, PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MICHAEL O'SHEA PSYD (SOLE PROPRIETOR/OWNER)
(860) 759-0664
Entity
Organization
Contact information
Practice address
769 NEWFIELD ST., STE. 8, MIDDLETOWN, CT 06457
(860) 759-0664
Mailing address
769 NEWFIELD ST., STE. 8, MIDDLETOWN, CT 06457
(860) 759-0664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003064
CT
Other
Enumeration date
08/25/2016
Last updated
06/19/2023
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