Provider Demographics
NPI:1720226988
Name:DAYTON, KATHLEEN F (LPC)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:F
Last Name:DAYTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:FARRELL
Other - Last Name:DAYTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:898 ETHAN ALLEN HIGHWAY
Mailing Address - Street 2:SUPER KIDS
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877
Mailing Address - Country:US
Mailing Address - Phone:203-431-9150
Mailing Address - Fax:203-438-4018
Practice Address - Street 1:4 BERKELEY STREET
Practice Address - Street 2:SUPER KIDS
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850
Practice Address - Country:US
Practice Address - Phone:203-854-0666
Practice Address - Fax:203-438-4018
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1545101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional