Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 3248 | CT |
N | 103TC0700X | Clinical Psychologist | 3248 | CT |
N | 102L00000X | Psychologist | 3248 | CT |
N | 103T00000X | Psychologist | 3248 | CT |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 3248 | CT |
N | 103G00000X | Clinical Psychologist | 3248 | CT |
N | 103TC0700X | Clinical Psychologist | 3248 | CT |
Y | 103G00000X | Clinical Psychologist | 9367 | MA |
Y | 103TC0700X | Clinical Psychologist | 9367 | MA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 3248 | CT |
N | 103TF0200X | Forensic Psychologist | 3248 | CT |
N | 103TH0004X | Health Psychologist | 3248 | CT |
N | 103TM1800X | Intellectual & Developmental Disabilities | 3248 | CT |
NPI | 1184873721 |
---|---|
Provider Name | Dr. Jessica Danielle Biren Caverly |
First Address | Brookfield, CT 06804-2647 |
Second Address | Brookfield, CT 06804-2426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2008 |
Last Update Date | 05/10/2014 |