Individual
CARLY TRASK-KUCHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
93 EDWARDS ST, NEW HAVEN, CT 06511-3933
(203) 772-1270
Mailing address
1414 E ORANGE GROVE BLVD, APT. #6, PASADENA, CA 91104-4721
(860) 912-0787
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3968
CT
Other
Enumeration date
05/29/2015
Last updated
04/23/2024
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