Katherine Elizabeth Provaznik

DO | Behavioral Neurology & Neuropsychiatry


  1260 Silas Deane Hwy Ste 101, Wethersfield
     Connecticut, 06109-4363
  860-545-7550    Maps & Directions
Katherine 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 NumberSpecializationStateStatus
82532 ConnecticutPrimary
82532Behavioral Neurology & Neuropsychiatry ConnecticutSecondary
2974Psychiatry & Neurology WisconsinSecondary
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.
Comments/ Reviews:

*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.