Doctor Name: | DR. CAROLINE JOAN KENDALL |
NPI Number: | 1093973620 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 017913-1 |
Business Practice Address: | 950 Campbell Ave Department Of Psychology West Haven, CT - 065162770 |
Business Phone Number: | 2039325711 |
Business Fax Number: | |
Mailing Address: | Po Box 206307, NEW HAVEN |
State: | CT |
Postal Code: | 065206307 |
Phone Number: | 2023905795 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2008 |
NPI Last Update Date: | 01/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 017913-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |