| Doctor Name: | DR. KATHRYN SANDERS CONNOLLY |
| NPI Number: | 1215141437 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 003015 |
| Business Practice Address: | 1320 Main St Willimantic, CT - 062261940 |
| Business Phone Number: | 2039325711 |
| Business Fax Number: | |
| Mailing Address: | Po Box 351, BALTIC |
| State: | CT |
| Postal Code: | 063300351 |
| Phone Number: | 2038158725 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 12/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 003015 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |