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Individual

KEVIN R. CONTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

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
(860) 646-9660
(860) 643-4074

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00963
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004053344
CT
01
055596
VALUE OPTIONS
CT
01
060000963CT01
ANTHEM
CT
01
153122
MHN
CT
01
290866
MAGELLAN
CT
01
4210594
AETNA
CT
01
61-58158
UNITED HEALTHCARE
CT
01
79070
CIGNA
CT
01
P584471
OXFORD
CT
Enumeration date
10/24/2006
Last updated
02/07/2011
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