| Kristen Lathrop, Psyd, Llc | |
|
750 Main St Suite 1008e Hartford CT 06103-2703 | |
| (860) 920-5101 | |
| Not Available |
| Full Name | Kristen Lathrop, Psyd, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 750 Main St, Hartford, Connecticut |
| Authorized Official Name and Position | Kristen Lathrop (PSYCHOLOGIST) |
| Authorized Official Contact | 8609205101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Lathrop, Psyd, Llc 750 Main St Suite 1008e Hartford CT 06103-2703 Ph: (860) 920-5101 | Kristen Lathrop, Psyd, Llc 750 Main St Suite 1008e Hartford CT 06103-2703 Ph: (860) 920-5101 |
| NPI Number | 1760710313 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 11/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760710313 | NPI | - | NPPES |
| 008003265 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 002695 (Connecticut) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 002695 (Connecticut) | Secondary |
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