Individual
DAVID C KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
207 STORRS RD, MANSFIELD, CT 06250-0174
(860) 456-4604
(860) 456-1738
Mailing address
PO BOX 174, MANSFIELD, CT 06250-0174
(860) 456-4604
(860) 456-1738
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000695
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107958
VALUE OPTIONS
—
01
—
170765
MHN
CT
01
—
5155543
AETNA
—
01
—
C007612
TRICARE
—
01
—
P2751860
OXFORD
—
Enumeration date
09/21/2006
Last updated
07/08/2007
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