Doctor Name: | DR. ANNALISE LAWLER CARON |
NPI Number: | 1023291499 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 017010 |
Business Practice Address: | 1720 Post Rd E Ste 223 Westport, CT - 068805643 |
Business Phone Number: | 2032206486 |
Business Fax Number: | 2032206487 |
Mailing Address: | 1720 Post Rd E Ste 223, WESTPORT |
State: | CT |
Postal Code: | 068805643 |
Phone Number: | 2032206486 |
Fax Number: | 2032206487 |
NPI Enumeration Date: | 12/08/2007 |
NPI Last Update Date: | 07/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 017010 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |