Provider Demographics
NPI:1184738007
Name:DAYAN, PATRICIA H (LCSW)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:H
Last Name:DAYAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TRISH
Other - Middle Name:H
Other - Last Name:DAYAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:45 COUSINS RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-3431
Mailing Address - Country:US
Mailing Address - Phone:203-329-9121
Mailing Address - Fax:203-329-8433
Practice Address - Street 1:45 COUSINS RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-3431
Practice Address - Country:US
Practice Address - Phone:203-329-9121
Practice Address - Fax:203-329-8433
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000369101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health