Berry, Susan
Berry, Susan is an sole proprietor health care provider with primary practice located at 799 Hebron Ave Second Floor, Glastonbury CT 06033. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Berry, Susan can be contacted via phone (860) 633-3006.Contact Information
Primary practice address
799 Hebron Ave Second Floor
Glastonbury CT 06033
Phone: (860) 633-3006
Fax: (860) 633-3328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 001849 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 009058 | New York |
Profile Details
| NPI number | 1205906542 |
|---|---|
| LBN Legal business name | Berry, Susan |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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