Provider Demographics
NPI:1033349584
Name:NGUYEN, CARA SIENA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:SIENA
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CARA
Other - Middle Name:SIENA
Other - Last Name:LATTIZORI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:65 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BARKHAMSTED
Mailing Address - State:CT
Mailing Address - Zip Code:06063-4008
Mailing Address - Country:US
Mailing Address - Phone:860-307-0379
Mailing Address - Fax:
Practice Address - Street 1:85 RIVER RD
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:CT
Practice Address - Zip Code:06019-3245
Practice Address - Country:US
Practice Address - Phone:860-307-0379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002940103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist