Individual
ALISON SUE TANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10 VINEYARD LN, WESTPORT, CT 06880-2255
(203) 222-1927
(203) 226-4651
Mailing address
10 VINEYARD LN, WESTPORT, CT 06880-2255
(203) 222-1927
(203) 226-4651
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1166
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004080503
—
CT
Enumeration date
08/18/2006
Last updated
07/09/2007
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