Dr. Suzanne M Derry, PHD
Psychologist, Clinical in Essex, Connecticut
1356362347- Practice location
- 28 Main St, Essex, CT 06426-1149
- Phone
- 860-767-1517
- Fax
- 860-767-7703
- Last updated
- March 17, 2009
Suzanne M Derry is a Psychologist, Clinical based in Essex, CT. Suzanne M Derry practices in Essex, CT and has the professional credentials of PHD. The NPI Number for Suzanne M Derry is 1356362347 and holds a License No. 881 (CT). The current practice location address for Suzanne M Derry is 28 Main St, Essex, CT 06426-1149 and can be reached out via phone at 860-767-1517 and via fax at 860-767-7703.
Provider Profile Details
- NPI Number
- 1356362347
- Provider Name
- Suzanne M Derry
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 28 Main St, Essex, CT 06426-1149
- Phone Number
- 860-767-1517
- Fax Number
- 860-767-7703
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 22, 2006
- Last Update Date
- March 17, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 28 Main St
Essex, CT 06426-1149 - City
- Essex
- State
- Connecticut
- Zip
- 06426-1149
- Phone Number
- 860-767-1517
- Fax Number
- 860-767-7703
Provider Business Mailing Address Details
- Address
- 28 Main St
Essex, CT 06426-1149 - City
- Essex
- State
- CT
- Zip
- 06426-1149
- Phone Number
- 860-767-1517
- Fax Number
- 860-767-7703
License Information
- License Number
- 881
- License State
- CT
- 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. Suzanne M Derry, PHD?
The NPI number of Dr. Suzanne M Derry, PHD is 1356362347. It was assigned on July 22, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Suzanne M Derry, PHD?
Dr. Suzanne M Derry, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 881.
Where does Dr. Suzanne M Derry, PHD practice?
The practice location is 28 Main St, Essex, CT 06426-1149. The office can be reached at 860-767-1517 (phone) or 860-767-7703 (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 1356362347 directly on the NPPES registry website.