Boritz, Susan A.
Boritz, Susan A. is an sole proprietor health care provider with primary practice located at 25 Church Hill Rd Ste 201B , Newtown CT 06470-1646. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Boritz, Susan A. can be contacted via phone (203) 917-8585.Contact Information
Primary practice address
25 Church Hill Rd Ste 201B
Newtown CT 06470-1646
Phone: (203) 917-8585
Fax: (203) 826-2211
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000910 | Connecticut |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 001240 | Connecticut |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 001240 | Connecticut |
Profile Details
NPI number | 1639328974 |
---|---|
LBN Legal business name | Boritz, Susan A. |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 11th, 2008 |
Last updated | Apr 8th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639328974 | NPPES |
Connecticut | MEDICAID | 004257318 |
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