KATHLEEN C WAWRZYNIAK WEBB, PSY.D., Family AVON, CT

Contact Information

KATHLEEN C WAWRZYNIAK WEBB, PSY.D.

34 DALE RD
SUITE 212
AVON, CT 06001-3659

Phone: 860-878-2028
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	103TF0000X	62	Psychologist, Clinical
Clinical	103TC0700X	62	Psychologist, Clinical
Clinical Child & Adolescent	103TC2200X	62	Psychologist, Clinical
Cognitive & Behavioral	103TB0200X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for KATHLEEN C WAWRZYNIAK WEBB · (Female)

NPI #	`1497877575`
Status	Active
Credentials	PSY.D. (Doctor of Psychology)
Entity	Individual
Enumeration date	04/06/2007
Last updated	01/02/2014 - About 12 years ago
Sole proprietor ¹	Yes
Identifiers	CT License # 3003 CT Medicaid CBHP005780
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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