Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | 1-14-15426 | CT |
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103G00000X | Clinical Psychologist | 2991 | CT |
Y | 103TC0700X | Clinical Psychologist | 2991 | CT |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
N | 103TF0200X | Forensic Psychologist | ||
N | 103TM1800X | Intellectual & Developmental Disabilities |
NPI | 1235269721 |
---|---|
Provider Name | Dr. Bina Roginsky |
First Address | Woodbridge, CT 06525-2209 |
Second Address | Woodbridge, CT 06525-2209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 13/02/2015 |