NPI 1801090931

Lynn Suppe, PH.D., LLC

Organisation Point of Service Woodbridge, CT

Practice location

Address: 1 Bradley Rd Suite 904, Woodbridge, CT 06525-2285
Phone: (203) 799-9977
Fax: (203) 397-1510

Authorised official

Name: Lynn Suppe
Title: Psychologist
Phone: (203) 799-9977

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 03-249962 (CT)

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Registry record

NPI: 1801090931
Entity type: Organization
NPI issued: 13 Jun 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.