| Dr. Katherine Bothos, Llc | |
|
170 Post Rd Ste 208 Fairfield CT 06824-6242 | |
| (203) 455-3736 | |
| Not Available |
| Full Name | Dr. Katherine Bothos, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 170 Post Rd Ste 208, Fairfield, Connecticut |
| Authorized Official Name and Position | Katherine Bothos (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2038388344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Katherine Bothos, Llc 704 Thorme St Bridgeport CT 06606-4022 Ph: (203) 838-8344 | Dr. Katherine Bothos, Llc 170 Post Rd Ste 208 Fairfield CT 06824-6242 Ph: (203) 455-3736 |
| NPI Number | 1033438015 |
|---|---|
| Provider Enumeration Date | 05/29/2010 |
| Last Update Date | 07/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033438015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 002950 (Connecticut) | Primary |
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