Provider Demographics
NPI:1912146689
Name:MOSCRIP, TAMMY (PHD, MSW)
Entity type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:
Last Name:MOSCRIP
Suffix:
Gender:F
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:COS COB
Mailing Address - State:CT
Mailing Address - Zip Code:06807-2725
Mailing Address - Country:US
Mailing Address - Phone:203-661-1609
Mailing Address - Fax:
Practice Address - Street 1:62 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-4748
Practice Address - Country:US
Practice Address - Phone:203-594-9777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker