Individual
MARISA NICOLE SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BLDG, NEW HAVEN, CT 06519-1369
(203) 785-2140
(203) 785-6414
Mailing address
PO BOX 9805, 300 GEORGE ST 6TH FLR, NEW HAVEN, CT 06536-0805
(203) 785-7998
(203) 785-6414
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
002730
CT
103TC0700X
Clinical Psychologist
Primary
019064
NY
Other
Enumeration date
12/01/2006
Last updated
04/30/2018
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