| Kelly A. Schmidt, Ph.d., Llc | |
|
16 Main St. Ellington CT 06029-0061 | |
| (860) 871-5402 | |
| (860) 871-5413 |
| Full Name | Kelly A. Schmidt, Ph.d., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 16 Main St., Ellington, Connecticut |
| Authorized Official Name and Position | Kelly A. Schmidt (OWNER) |
| Authorized Official Contact | 8608715402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly A. Schmidt, Ph.d., Llc 16 Main St. Ellington CT 06029-0061 Ph: (860) 871-5402 | Kelly A. Schmidt, Ph.d., Llc 16 Main St. Ellington CT 06029-0061 Ph: (860) 871-5402 |
| NPI Number | 1104653344 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104653344 | NPI | - | NPPES |
| 008093888 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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