Individual
AMYNAH DHARANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 SUMMER ST STE 412, STAMFORD, CT 06901-1391
(203) 489-3711
Mailing address
11 TURNER LN, WILTON, CT 06897-2009
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001880
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004041000
—
CT
05
—
008003745
—
CT
05
—
008071202
—
CT
Enumeration date
05/01/2015
Last updated
04/17/2020
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