Provider Demographics
NPI:1376851634
Name:ABRAM, ANN (MALCSW PHD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:ABRAM
Suffix:
Gender:F
Credentials:MALCSW PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 EAST AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4902
Mailing Address - Country:US
Mailing Address - Phone:203-299-0478
Mailing Address - Fax:203-254-1471
Practice Address - Street 1:83 EAST AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4902
Practice Address - Country:US
Practice Address - Phone:203-299-0478
Practice Address - Fax:203-254-1471
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004154101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health