Individual
DR. KATHLEEN SCHWAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
358 MONTAUK AVE, NEW LONDON, CT 06320-4706
(860) 443-1396
Mailing address
5 STARR ST, MYSTIC, CT 06355-1841
(860) 443-1396
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002271
CT
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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