Individual
KELLY ANN KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 RETREAT AVE, HARTFORD, CT 06106-3309
(860) 545-7985
Mailing address
200 RETREAT AVE, HARTFORD, CT 06106-3309
(860) 545-7985
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004689
CT
Other
Enumeration date
09/27/2023
Last updated
01/24/2024
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