Search › Connecticut › 104100000X
Tanisha Evans
NPI 1972285872 · on the registry since 2023
Practice
- Address
- 1345 Barnum Ave
Stratford, CT 06614 - Phone
- (475) 219-8069
- Organisation at this address
- Elephant On The Couch
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut