Provider Demographics
NPI:1396852042
Name:COX, MICHAELANN ALLISON (PSY D)
Entity Type:Individual
Prefix:DR
First Name:MICHAELANN
Middle Name:ALLISON
Last Name:COX
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:44 OLD RIDGEFIELD RD
Mailing Address - Street 2:STE. 214
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-3055
Mailing Address - Country:US
Mailing Address - Phone:203-563-9600
Mailing Address - Fax:203-563-9600
Practice Address - Street 1:44 OLD RIDGEFIELD RD
Practice Address - Street 2:STE. 214
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-3055
Practice Address - Country:US
Practice Address - Phone:203-563-9600
Practice Address - Fax:203-563-9600
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002101103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical