Doctor Name: | DR. NANCY ANNE GEWIRTZ |
NPI Number: | 1063436145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 002001 |
Business Practice Address: | 24 Old Wagon Rd Old Greenwich, CT - 068701126 |
Business Phone Number: | 2036987755 |
Business Fax Number: | 2036987755 |
Mailing Address: | 24 Old Wagon Rd, OLD GREENWICH |
State: | CT |
Postal Code: | 068701126 |
Phone Number: | 2036987755 |
Fax Number: | 2036987755 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 002001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |