| Doctor Name: | DR. ALAN M SMIRNOFF |
| NPI Number: | 1154530269 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 001414 |
| Business Practice Address: | 408 Highland Ave Suite A2 Cheshire, CT - 064102525 |
| Business Phone Number: | 2032711900 |
| Business Fax Number: | 2036990907 |
| Mailing Address: | 408 Highland Ave, Suite A2 CHESHIRE |
| State: | CT |
| Postal Code: | 064102525 |
| Phone Number: | 2032711900 |
| Fax Number: | 2036990907 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 11/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 001414 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |