| Kevin O'shea, Psyd Llc | |
|
769 Newfield St. Ste. 8 Middletown CT 06457 | |
| (860) 759-0664 | |
| Not Available |
| Full Name | Kevin O'shea, Psyd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 769 Newfield St., Middletown, Connecticut |
| Authorized Official Name and Position | Kevin Michael O'shea (SOLE PROPRIETOR/OWNER) |
| Authorized Official Contact | 8607590664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin O'shea, Psyd Llc 769 Newfield St. Ste. 8 Middletown CT 06457 Ph: (860) 759-0664 | Kevin O'shea, Psyd Llc 769 Newfield St. Ste. 8 Middletown CT 06457 Ph: (860) 759-0664 |
| NPI Number | 1790230209 |
|---|---|
| Provider Enumeration Date | 08/25/2016 |
| Last Update Date | 06/19/2023 |
| Certification Date | 06/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790230209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 003064 (Connecticut) | Primary |
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