NPI 1003092164

Todd Thomas Kellogg, LMFT

Practitioner Marriage & Family Therapist Trumbull, CT

Practice location

Address: 6515 Main St Suite Ll1, Trumbull, CT 06611-1354
Phone: (203) 543-2043

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 001082 (CT)

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Registry record

NPI: 1003092164
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2008
Record last updated: 18 Jan 2008

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.