D'Ambrosio, Susan Elizabeth

D'Ambrosio, Susan Elizabeth is an individual health care provider with primary practice located at 79 Retreat Avenue Hartford Hospital Psychiatry Dept, Hartford CT 06106-2527. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. D'Ambrosio, Susan Elizabeth can be contacted via phone (860) 972-0200.

Contact Information

Primary practice address
79 Retreat Avenue Hartford Hospital Psychiatry Dept Hartford CT 06106-2527
Phone: (860) 972-0200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002626 Connecticut

Profile Details

NPI number 1225074420
LBN Legal business name D'Ambrosio, Susan Elizabeth
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Nov 1st, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225074420 NPPES
Connecticut MEDICAID 008026262

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