King, Susan

King, Susan is an sole proprietor health care provider with primary practice located at 616 Gold Star Highway , Groton CT 06340. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. King, Susan can be contacted via phone (860) 449-0200.

Contact Information

Primary practice address
616 Gold Star Highway Groton CT 06340
Fax: (860) 449-1954
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000457 Connecticut
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000268 Connecticut

Profile Details

NPI number 1386736643
LBN Legal business name King, Susan
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers