Individual
ALEXANDRA BLAIR CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
55 HOLLY HILL LANE SUITE 170, GREENWICH, CT 06830
(203) 863-2939
Mailing address
30 SOUTHFIELD AVENUE APT 420, STAMFORD, CT 06902
(631) 513-2981
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003862
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008091020
—
CT
Enumeration date
08/01/2019
Last updated
08/28/2020
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