Active NPIIndividual providerSole proprietor

Dr. Susan J Sampl, PHD

Psychologist, Clinical in Avon, Connecticut

NPI Number1285768754
Practice location
34 Dale RD Ste 212, Avon, CT 06001-3659
Fax
—
Last updated
July 8, 2007

Susan J Sampl is a Psychologist, Clinical based in Avon, CT. Susan J Sampl practices in Avon, CT and has the professional credentials of PHD. The NPI Number for Susan J Sampl is 1285768754 and holds a License No. 1848 (CT). The current practice location address for Susan J Sampl is 34 Dale RD Ste 212, Avon, CT 06001-3659 and can be reached out via phone at 860-803-9167.

Provider Profile Details

NPI Number
1285768754
Provider Name
Susan J Sampl
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
34 Dale RD Ste 212, Avon, CT 06001-3659
Phone Number
860-803-9167
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 15, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Dale RD Ste 212
Avon, CT 06001-3659
City
Avon
Zip
06001-3659
Phone Number
860-803-9167
Avon, CT 06001Get directions →

Provider Business Mailing Address Details

Address
34 Dale RD Ste 212
Avon, CT 06001-3659
City
Avon
State
CT
Zip
06001-3659
Phone Number
860-803-9167

License Information

License Number
1848
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Susan J Sampl, PHD?

The NPI number of Dr. Susan J Sampl, PHD is 1285768754. It was assigned on March 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Susan J Sampl, PHD?

Dr. Susan J Sampl, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 1848.

Where does Dr. Susan J Sampl, PHD practice?

The practice location is 34 Dale RD Ste 212, Avon, CT 06001-3659. The office can be reached at 860-803-9167 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285768754 directly on the NPPES registry website.

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