Provider Demographics
NPI:1194942870
Name:KOLODNEY, BETTE K (PHD LMFT LADC)
Entity type:Individual
Prefix:DR
First Name:BETTE
Middle Name:K
Last Name:KOLODNEY
Suffix:
Gender:F
Credentials:PHD LMFT LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 BLUE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-4924
Mailing Address - Country:US
Mailing Address - Phone:203-322-2922
Mailing Address - Fax:
Practice Address - Street 1:83 BLUE RIDGE DR
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-4924
Practice Address - Country:US
Practice Address - Phone:203-322-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000385106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist