Active NPIOrganization

Lynn Suppe, Ph.d., LLC

Point of Service in Woodbridge, Connecticut

NPI Number1801090931
Practice location
1 Bradley RD, Suite 904, Woodbridge, CT 06525-2285
Fax
203-397-1510
Last updated
August 22, 2020

Lynn Suppe, Ph.d., LLC is a healthcare organization based in Woodbridge, CT. Lynn Suppe, Ph.d., LLC practices in Woodbridge, CT. The NPI Number for Lynn Suppe, Ph.d., LLC is 1801090931 and holds a License No. 03-249962 (CT). The current practice location address for Lynn Suppe, Ph.d., LLC is 1 Bradley RD, Suite 904, Woodbridge, CT 06525-2285 and can be reached out via phone at 203-799-9977 and via fax at 203-397-1510.

Provider Profile Details

NPI Number
1801090931
Provider Name
Lynn Suppe, Ph.d., LLC
Provider Entity Type
Organization
Address
1 Bradley RD, Suite 904, Woodbridge, CT 06525-2285
Phone Number
203-799-9977
Fax Number
203-397-1510
Primary Taxonomy
Point of Service · 305S00000X
Organization Subpart
No
Authorized Official
Dr. Lynn Suppe, PHD · Psychologist · 203-799-9977
Provider Enumeration Date
June 13, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bradley RD
Suite 904
Woodbridge, CT 06525-2285
Zip
06525-2285
Phone Number
203-799-9977
Fax Number
203-397-1510
Woodbridge, CT 06525Get directions →

Provider Business Mailing Address Details

Address
1 Bradley RD
Suite 904
Woodbridge, CT 06525-2285
City
Woodbridge
State
CT
Zip
06525-2285
Phone Number
203-799-9977
Fax Number
203-397-1510

License Information

License Number
03-249962
License State
CT
Taxonomy
Point of Service · 305S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Lynn Suppe, Ph.d., LLC?

The NPI number of Lynn Suppe, Ph.d., LLC is 1801090931. It was assigned on June 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Lynn Suppe, Ph.d., LLC?

Lynn Suppe, Ph.d., LLC is registered under the primary taxonomy Point of Service (code 305S00000X), licensed in CT under license number 03-249962.

Where does Lynn Suppe, Ph.d., LLC practice?

The practice location is 1 Bradley RD, Suite 904, Woodbridge, CT 06525-2285. The office can be reached at 203-799-9977 (phone) or 203-397-1510 (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 1801090931 directly on the NPPES registry website.

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