| Lynn M. Sussman, Ph.d. Llc | |
|
1173 Rock Rimmon Rd Stamford CT 06903-1210 | |
| (203) 595-9540 | |
| Not Available |
| Full Name | Lynn M. Sussman, Ph.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1173 Rock Rimmon Rd, Stamford, Connecticut |
| Authorized Official Name and Position | Lynn Merle Sussman (PSYCHOLOGIST) |
| Authorized Official Contact | 2035959540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn M. Sussman, Ph.d. Llc 1173 Rock Rimmon Rd Stamford CT 06903-1210 Ph: (203) 595-9540 | Lynn M. Sussman, Ph.d. Llc 1173 Rock Rimmon Rd Stamford CT 06903-1210 Ph: (203) 595-9540 |
| NPI Number | 1205000569 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Medicare PECOS PAC ID | 9436238433 |
|---|---|
| Medicare Enrollment ID | O20080501000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205000569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 002767 (Connecticut) | Primary |
| Provider Name | Lynn M Sussman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023215043 PECOS PAC ID: 8628157625 Enrollment ID: I20080501000578 |
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