Individual
TRACY E. RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
Mailing address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017010
PA
Other
Enumeration date
02/24/2010
Last updated
06/21/2011
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