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Individual

DR. NANCY ELLEN HERSE SEDLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
36 OLD KINGS HWY S STE 310, DARIEN, CT 06820-4523
(203) 655-3307
Mailing address
12 KNOLLWOOD LN, DARIEN, CT 06820-2813
(203) 656-3925

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001879
CT
103TC0700X
Clinical Psychologist
001879
CT
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0000X
Family Psychologist

Other

Enumeration date
02/22/2019
Last updated
02/22/2019
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