NPI 1902175391

Charles J.Kallick, M.D.,pc

Organisation Psychoanalyst Westport, CT

Practice location

Address: 12 Crooked Mile Rd, Westport, CT 06880-1123
Phone: (203) 226-3685

Authorised official

Name: Charles John Kallick
Title: President
Phone: (203) 226-3685

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence 011345 (CT)

Other Psychoanalyst providers in Connecticut →

Registry record

NPI: 1902175391
Entity type: Organization
NPI issued: 14 Dec 2011
Record last updated: 14 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.