Provider Demographics
NPI:1740492388
Name:NURO, KATHRYN F (PHD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:F
Last Name:NURO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-5738
Mailing Address - Country:US
Mailing Address - Phone:203-852-9099
Mailing Address - Fax:203-762-5214
Practice Address - Street 1:128 EAST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5738
Practice Address - Country:US
Practice Address - Phone:203-852-9099
Practice Address - Fax:203-762-5214
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001938103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1740492388Medicare UPIN
CT680001399Medicare ID - Type Unspecified