Active NPIIndividual providerSole proprietor

Dr. Kathryn S Connolly, PHD

Psychologist, Clinical in Willimantic, Connecticut

NPI Number1215141437
Practice location
1320 Main St, Willimantic, CT 06226-1940
Fax
—
Last updated
December 31, 2013

Kathryn Sanders Connolly is a Psychologist, Clinical based in Willimantic, CT. Kathryn Sanders Connolly practices in Willimantic, CT and has the professional credentials of PHD. The NPI Number for Kathryn Sanders Connolly is 1215141437 and holds a License No. 017131 (NY). The current practice location address for Kathryn Sanders Connolly is 1320 Main St, Willimantic, CT 06226-1940 and can be reached out via phone at 203-932-5711.

Provider Profile Details

NPI Number
1215141437
Provider Name
Kathryn Sanders Connolly
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1320 Main St, Willimantic, CT 06226-1940
Phone Number
203-932-5711
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Other Names
-- Kathryn Amelia Sanders (Former Name)
Provider Enumeration Date
May 9, 2007
Last Update Date
December 31, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1320 Main St
Willimantic, CT 06226-1940
Zip
06226-1940
Phone Number
203-932-5711
Willimantic, CT 06226Get directions →

Provider Business Mailing Address Details

Address
Po Box 351
Baltic, CT 06330-0351
City
Baltic
State
CT
Zip
06330-0351
Phone Number
203-815-8725

License Information

License Number (1)
017131
License State (1)
NY
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
003015
License State (2)
CT
Taxonomy (2)
Psychologist, Clinical · 103TC0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kathryn S Connolly, PHD?

The NPI number of Dr. Kathryn S Connolly, PHD is 1215141437. It was assigned on May 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Kathryn S Connolly, PHD?

Dr. Kathryn S Connolly, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 017131.

Where does Dr. Kathryn S Connolly, PHD practice?

The practice location is 1320 Main St, Willimantic, CT 06226-1940. The office can be reached at 203-932-5711 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215141437 directly on the NPPES registry website.

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