Individual
KATHLEEN R RIVERA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
152 WEST ST, WESTERN CT MEDICAL ST (UPPER LEVEL), DANBURY, CT 06810-6361
(203) 791-5140
(203) 739-8959
Mailing address
152 WEST ST, WESTERN CT MEDICAL ST (UPPER LEVEL), DANBURY, CT 06810-6361
(203) 791-5140
(203) 739-8959
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
047640
CT
2084P0800X
Psychiatry Physician
047640
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
047640
CT
Other
Enumeration date
08/24/2007
Last updated
05/12/2023
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