Emily B Ansell, PH.D.

Individual provider Active NPI Clinical Psychologist · New Haven, CT

NPI 1689075855 · NPPES record last updated Sep 8, 2014

Key facts

NPI
1689075855
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
003027 (CT)
Practice address
2 Church St S Ste 209
New Haven, CT 06519-1717
Phone
(203) 737-3436
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 003027 CT Yes

Addresses

Primary practice location

2 Church St S Ste 209
New Haven, CT 06519-1717

Mailing address

2 Church St S Ste 209
New Haven, CT 06519-1717
Phone (203) 737-3436

Other providers in New Haven, CT

All providers in New Haven, CT · Clinical Psychologist in Connecticut

Sources for this page

Verify at the official NPI Registry.