Individual
TRACY PENNOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 MYRTLE AVE, WESTPORT, CT 06880-3511
(203) 341-0495
Mailing address
90 KETTLE CREEK RD, WESTON, CT 06883-2222
(203) 341-0495
(203) 226-7724
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002003
CT
Other
Enumeration date
04/25/2010
Last updated
04/25/2010
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