Provider Demographics
NPI:1477973378
Name:FUREY, KATRINA LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:LOUISE
Last Name:FUREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:LOUISE
Other - Last Name:WEED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:147 DURHAM RD STE 12A-NE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-2675
Mailing Address - Country:US
Mailing Address - Phone:203-350-8305
Mailing Address - Fax:203-350-8310
Practice Address - Street 1:147 DURHAM RD STE 12A-NE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443
Practice Address - Country:US
Practice Address - Phone:203-350-8305
Practice Address - Fax:203-350-8310
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-18
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT554322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry