| Kathie H. Moffitt Phd | |
|
148 Eastern Blvd Ste 306 Glastonbury CT 06033-4321 | |
| (860) 970-7782 | |
| Not Available |
| Full Name | Kathie H. Moffitt Phd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 148 Eastern Blvd Ste 306, Glastonbury, Connecticut |
| Authorized Official Name and Position | Kathie H Moffitt (OWNER) |
| Authorized Official Contact | 8609707782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathie H. Moffitt Phd Po Box 3028 Vernon CT 06066-1928 Ph: (860) 970-7782 | Kathie H. Moffitt Phd 148 Eastern Blvd Ste 306 Glastonbury CT 06033-4321 Ph: (860) 970-7782 |
| NPI Number | 1235580606 |
|---|---|
| Provider Enumeration Date | 06/28/2016 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235580606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2984 (Connecticut) | Primary |
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