institution
Susan E Dieterich Phd Llc
Adolescent and Children Mental Health Clinic/Center in Westport, Connecticut
NPI 1598217614

Susan E Dieterich Phd Llc is an Adolescent and Children Mental Health Clinic/Center based in Westport, CT and is specialized in Adolescent and Children Mental Health. 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 (Connecticut).

The current practice location address for Susan E Dieterich Phd Llc is 64 Post Rd W, Westport, CT and can be reached out via phone at 203-635-2622.

Location: 64 Post Rd W, Westport, CT, 06880-4208
institution
Provider Profile Details
NPI Number
1598217614
Provider Name
Susan E Dieterich Phd Llc
Credential
Provider Entity Type
Organization
Address
64 Post Rd W, Westport, CT, 06880-4208
Phone Number
203-635-2622
Fax Number
Provider Enumeration Date
10/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
64 Post Rd W
City
State
Zip
06880-4208
Phone Number
203-635-2622
Fax Number
person
Provider Business Mailing Address Details
Address
64 Post Rd W
City
State
Zip
06880-4208
Phone Number
203-635-2622
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
002826 (Connecticut)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
002826 (Connecticut)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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