Whalio Doctors

NPI 1013251925

Jane Kistler

Practitioner Clinical Social Worker Westport, CT

Practice location

Address
120 Post Rd W Suite 102a, Westport, CT 06880-4206
Phone
(203) 644-0332
Fax
(203) 834-1408
Mailing address
312 Chestnut Hill Rd, Wilton, CT 06897-3501

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 009274 (CT)

Registry record

NPI
1013251925
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Nov 2012
Record last updated
31 Jan 2017

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.