Katherine Elizabeth Provaznik
DO | Behavioral Neurology & Neuropsychiatry
1260 Silas Deane Hwy Ste 101, Wethersfield
Connecticut, 06109-4363
860-545-7550 Maps & DirectionsKatherine Elizabeth Provaznik is a Wethersfield, Connecticut based neurologist who is specialized in Behavioral Neurology & Neuropsychiatry. Active license number of Katherine Elizabeth Provaznik is 82532 in Connecticut. Her current practice location is 1260 Silas Deane Hwy Ste 101, Wethersfield. Patients can reach her at 860-545-7550. Katherine Elizabeth Provaznik is DO in Behavioral Neurology & Neuropsychiatry and her NPI number (Unique professional ID assigned by NPPES) is 1376002311.
Katherine Elizabeth Provaznik has a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Complete Profile:
Katherine Elizabeth Provaznik speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Katherine Elizabeth Provaznik |
| Specialization: | Behavioral Neurology & Neuropsychiatry |
| Gender: | Female |
| Credentials: | DO |
| Practice Address: | 1260 Silas Deane Hwy Ste 101, Wethersfield,
Connecticut, 06109-4363 |
| Phone: | 860-545-7550 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1376002311 |
| NPI Enumeration Date: | 19 Mar, 2019 |
| NPI Last Update On: | 04 Aug, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Katherine Elizabeth Provaznik are as mentioned below.
| License Number | Specialization | State | Status | |
| 82532 | | Connecticut | Primary | |
| 82532 | Behavioral Neurology & Neuropsychiatry | Connecticut | Secondary | |
| 2974 | Psychiatry & Neurology | Wisconsin | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Katherine Elizabeth Provaznik
1260 Silas Deane Hwy Ste 101,
Wethersfield, Connecticut |
| Zip: | 06109-4363 |
| Phone Number: | 860-545-7550 |
Patients can reach Katherine Elizabeth Provaznik at
1260 Silas Deane Hwy Ste 101, Wethersfield, Connecticut or can
call to book an appointment on 860-545-7550.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.