Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 1195 | CT |
NPI | 1003039470 |
---|---|
Provider Name | Dr. Nancie R Spector |
First Address | New Canaan, CT 06840-6003 |
Second Address | New Canaan, CT 06840-6003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |