Provider Demographics
NPI:1285760306
Name:SAWYER, ANNITA (PHD)
Entity type:Individual
Prefix:DR
First Name:ANNITA
Middle Name:
Last Name:SAWYER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 CROSSFIELD RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06471-1802
Mailing Address - Country:US
Mailing Address - Phone:203-481-2453
Mailing Address - Fax:203-481-2453
Practice Address - Street 1:72 CROSSFIELD RD
Practice Address - Street 2:
Practice Address - City:NORTH BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06471-1802
Practice Address - Country:US
Practice Address - Phone:203-481-2453
Practice Address - Fax:203-481-2453
Is Sole Proprietor?:No
Enumeration Date:2007-02-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1684103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent