Individual
DR. NANCY A EISWIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
664 PROSPECT AVENUE, HARTFORD, CT 06105
(860) 236-8087
(860) 586-7422
Mailing address
664 PROSPECT AVENUE, HARTFORD, CT 06105
(860) 236-8087
(860) 586-7422
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1149
CT
103TC2200X
Clinical Child & Adolescent Psychologist
1149
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001149CT05
ANTHEM BLUE CROSS BLUE SH
CT
01
—
P383627
OXFORD INSURANCE CO
CT
Enumeration date
07/26/2006
Last updated
09/11/2025
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