Individual
DR. TIMOTHY J. NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
61 BLOOMFIELD AVE, FL 2, WINDSOR, CT 06095
(860) 683-2352
(860) 219-1179
Mailing address
61 BLOOMFIELD AVE, FL 2, WINDSOR, CT 06095
(860) 683-2352
(860) 219-1179
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001057
CT
103T00000X
Psychologist
1160
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001057CT01
ANTHEM BCBS
CT
01
—
073409
VALUEOPTIONS
CT
Enumeration date
03/14/2007
Last updated
08/05/2016
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