Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 017010 | NY |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 3085 | CT |
N | 103G00000X | Clinical Psychologist | 017010 | NY |
N | 103TC0700X | Clinical Psychologist | 017010 | NY |
Y | 103G00000X | Clinical Psychologist | 3085 | CT |
Y | 103TC0700X | Clinical Psychologist | 3085 | CT |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 017010 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 3085 | CT |
NPI | 1023291499 |
---|---|
Provider Name | Dr. Annalise Lawler Caron |
First Address | Westport, CT 06880-5643 |
Second Address | Westport, CT 06880-5643 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2007 |
Last Update Date | 13/07/2013 |