Susan E Dieterich PHD LLC
Clinic/Center, Adolescent and Children Mental Health in Westport, Connecticut
1598217614- Practice location
- 64 Post RD W, Westport, CT 06880-4208
- Phone
- 203-635-2622
- Fax
- —
- Last updated
- October 25, 2016
Susan E Dieterich PHD LLC is a healthcare organization based in Westport, CT. Susan E Dieterich PHD LLC practices in Westport, CT. The NPI Number for Susan E Dieterich PHD LLC is 1598217614 and holds a License No. 002826 (CT). The current practice location address for Susan E Dieterich PHD LLC is 64 Post RD W, Westport, CT 06880-4208 and can be reached out via phone at 203-635-2622.
Provider Profile Details
- NPI Number
- 1598217614
- Provider Name
- Susan E Dieterich PHD LLC
- Provider Entity Type
- Organization
- Address
- 64 Post RD W, Westport, CT 06880-4208
- Phone Number
- 203-635-2622
- Primary Taxonomy
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Organization Subpart
- No
- Authorized Official
- Dr. Susan Dieterich · Psychologist · 203-635-2622
- Provider Enumeration Date
- October 25, 2016
- Last Update Date
- October 25, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 64 Post RD W
Westport, CT 06880-4208 - City
- Westport
- State
- Connecticut
- Zip
- 06880-4208
- Phone Number
- 203-635-2622
Provider Business Mailing Address Details
- Address
- 64 Post RD W
Westport, CT 06880-4208 - City
- Westport
- State
- CT
- Zip
- 06880-4208
- Phone Number
- 203-635-2622
License Information
- License Number (1)
- 002826
- License State (1)
- CT
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- License Number (2)
- 002826
- License State (2)
- CT
- Taxonomy (2)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X · 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 Susan E Dieterich PHD LLC?
The NPI number of Susan E Dieterich PHD LLC is 1598217614. It was assigned on October 25, 2016 and is currently active in the NPPES registry.
What is the specialty of Susan E Dieterich PHD LLC?
Susan E Dieterich PHD LLC is registered under the primary taxonomy Clinic/Center, Adolescent and Children Mental Health (code 261QM0855X), licensed in CT under license number 002826.
Where does Susan E Dieterich PHD LLC practice?
The practice location is 64 Post RD W, Westport, CT 06880-4208. The office can be reached at 203-635-2622 (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 1598217614 directly on the NPPES registry website.