| Susan E Dieterich Phd Llc | |
|
64 Post Rd W Westport CT 06880-4208 | |
| (203) 635-2622 | |
| Not Available |
| Full Name | Susan E Dieterich Phd Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 64 Post Rd W, Westport, Connecticut |
| Authorized Official Name and Position | Susan Dieterich (PSYCHOLOGIST) |
| Authorized Official Contact | 2036352622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan E Dieterich Phd Llc 64 Post Rd W Westport CT 06880-4208 Ph: (203) 635-2622 | Susan E Dieterich Phd Llc 64 Post Rd W Westport CT 06880-4208 Ph: (203) 635-2622 |
| NPI Number | 1598217614 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598217614 | NPI | - | NPPES |
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