Dr. Lisa M Supino, PSYD
Psychologist, Clinical in Darien, Connecticut
1740431667- Practice location
- 6 Thorndal Circle, Darien, CT 06820
- Phone
- 858-254-4302
- Fax
- —
- Last updated
- October 9, 2008
Lisa Michelle Supino is a Psychologist, Clinical based in Darien, CT. Lisa Michelle Supino practices in Darien, CT and has the professional credentials of PSYD. The NPI Number for Lisa Michelle Supino is 1740431667 and holds a License No. 017490-1 (NY). The current practice location address for Lisa Michelle Supino is 6 Thorndal Circle, Darien, CT 06820 and can be reached out via phone at 858-254-4302.
Provider Profile Details
- NPI Number
- 1740431667
- Provider Name
- Lisa Michelle Supino
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6 Thorndal Circle, Darien, CT 06820
- Phone Number
- 858-254-4302
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 9, 2008
- Last Update Date
- October 9, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Thorndal Circle
Darien, CT 06820 - City
- Darien
- State
- Connecticut
- Zip
- 06820
- Phone Number
- 858-254-4302
Provider Business Mailing Address Details
- Address
- 138 B Old Mount Kisco RD
Armonk, NY 10504 - City
- Armonk
- State
- NY
- Zip
- 10504
- Phone Number
- 858-254-4302
License Information
- License Number (1)
- 017490-1
- License State (1)
- NY
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 002888
- License State (2)
- CT
- Taxonomy (2)
- 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. Lisa M Supino, PSYD?
The NPI number of Dr. Lisa M Supino, PSYD is 1740431667. It was assigned on October 9, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Lisa M Supino, PSYD?
Dr. Lisa M Supino, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 017490-1.
Where does Dr. Lisa M Supino, PSYD practice?
The practice location is 6 Thorndal Circle, Darien, CT 06820. The office can be reached at 858-254-4302 (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 1740431667 directly on the NPPES registry website.