Susan E Dieterich Phd Llc

LBN: Susan E Dieterich Phd Llc
Susan E Dieterich Phd Llc is an health care organization with primary practice located at 64 Post Rd W , Westport CT 06880-4208. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Susan E Dieterich Phd Llc can be contacted via phone (203) 635-2622, or through Dieterich, Susan via phone (203) 635-2622.

Contact Information

Primary practice address
64 Post Rd W Westport CT 06880-4208
Phone: (203) 635-2622
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dieterich, Susan
Phone: (203) 635-2622

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 002826 Connecticut
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 002826 Connecticut

Profile Details

NPI number 1598217614
LBN Legal business name Susan E Dieterich Phd Llc
DBA Doing business as
Authorized official Dieterich, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2016
Last updated Oct 25th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers