Tane, Alison Sue

Tane, Alison Sue is an sole proprietor health care provider with primary practice located at 10 Vineyard Ln , Westport CT 06880-2255. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tane, Alison Sue can be contacted via phone (203) 222-1927.

Contact Information

Primary practice address
10 Vineyard Ln Westport CT 06880-2255
Fax: (203) 226-4651
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1166 Connecticut

Profile Details

NPI number 1285748327
LBN Legal business name Tane, Alison Sue
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285748327 NPPES
Connecticut MEDICAID 004080503

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