Dr. Olivia M Susman, PHD
Psychologist, Clinical in New Canaan, Connecticut
1316654429- Practice location
- 92 Knollwood Ln, New Canaan, CT 06840-2931
- Phone
- 617-872-9685
- Fax
- —
- Last updated
- October 31, 2022
Olivia Medvedow Susman is a Psychologist, Clinical based in New Canaan, CT. Olivia Medvedow Susman practices in New Canaan, CT and has the professional credentials of PHD. The NPI Number for Olivia Medvedow Susman is 1316654429 and holds a License No. 023112 (NY). The current practice location address for Olivia Medvedow Susman is 92 Knollwood Ln, New Canaan, CT 06840-2931 and can be reached out via phone at 617-872-9685.
Provider Profile Details
- NPI Number
- 1316654429
- Provider Name
- Olivia Medvedow Susman
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 92 Knollwood Ln, New Canaan, CT 06840-2931
- Phone Number
- 617-872-9685
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 31, 2022
- Last Update Date
- October 31, 2022
- Certification Date
- October 30, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 92 Knollwood Ln
New Canaan, CT 06840-2931 - City
- New Canaan
- State
- Connecticut
- Zip
- 06840-2931
- Phone Number
- 617-872-9685
Provider Business Mailing Address Details
- Address
- 92 Knollwood Ln
New Canaan, CT 06840-2931 - City
- New Canaan
- State
- CT
- Zip
- 06840-2931
- Phone Number
- 617-872-9685
License Information
- License Number
- 023112
- License State
- NY
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Olivia M Susman, PHD?
The NPI number of Dr. Olivia M Susman, PHD is 1316654429. It was assigned on October 31, 2022 and is currently active in the NPPES registry.
What is the specialty of Dr. Olivia M Susman, PHD?
Dr. Olivia M Susman, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 023112.
Where does Dr. Olivia M Susman, PHD practice?
The practice location is 92 Knollwood Ln, New Canaan, CT 06840-2931. The office can be reached at 617-872-9685 (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 1316654429 directly on the NPPES registry website.