Active NPIIndividual providerSole proprietor

Susan Kudrak

Counselor, Professional in Bethel, Connecticut

NPI Number1336790211
Practice location
35 Judd Ave, Bethel, CT 06801-1538
Fax
203-744-0801
Last updated
September 23, 2019

Susan Kudrak is a Counselor, Professional based in Bethel, CT. Susan Kudrak practices in Bethel, CT. The NPI Number for Susan Kudrak is 1336790211 and holds a License No. 000637 (CT). The current practice location address for Susan Kudrak is 35 Judd Ave, Bethel, CT 06801-1538 and can be reached out via phone at 203-733-9103 and via fax at 203-744-0801.

Provider Profile Details

NPI Number
1336790211
Provider Name
Susan Kudrak
Provider Entity Type
Individual
Gender
Female
Address
35 Judd Ave, Bethel, CT 06801-1538
Phone Number
203-733-9103
Fax Number
203-744-0801
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
September 23, 2019
Last Update Date
September 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Judd Ave
Bethel, CT 06801-1538
City
Bethel
Zip
06801-1538
Phone Number
203-733-9103
Fax Number
203-744-0801
Bethel, CT 06801Get directions →

Provider Business Mailing Address Details

Address
35 Judd Ave
Bethel, CT 06801-1538
City
Bethel
State
CT
Zip
06801-1538
Phone Number
203-733-9103
Fax Number
203-744-0801

License Information

License Number
000637
License State
CT
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

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

Other Counselor, Professional providers near Bethel, CT

View all Counselor, Professional providers in Bethel →

Frequently Asked Questions

What is the NPI number of Susan Kudrak?

The NPI number of Susan Kudrak is 1336790211. It was assigned on September 23, 2019 and is currently active in the NPPES registry.

What is the specialty of Susan Kudrak?

Susan Kudrak is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 000637.

Where does Susan Kudrak practice?

The practice location is 35 Judd Ave, Bethel, CT 06801-1538. The office can be reached at 203-733-9103 (phone) or 203-744-0801 (fax).

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 1336790211 directly on the NPPES registry website.

Browse related providers