DR. SUSAN J SAMPL


Address: 34 Dale Rd Ste 212, Avon, CT 06001-3659
Phone: 8608039167

DR. SUSAN J SAMPL (NPI# 1285768754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285768754
Entity Type Individual
Full Name DR. SUSAN J SAMPL
Credential PH.D.
Practice Address 34 Dale Rd Ste 212
Avon
CT 06001-3659
Practice Telephone 8608039167
Mailing Telephone 8608039167
Enumeration Date 2007-03-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1848 CT Behavioral Health & Social Service Providers

Office Location

Street Address 34 DALE RD STE 212
City AVON
State CT
Zip Code 06001-3659

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134644230 Stacie Freudenberg Psychologist 1060 W. Beaver Creek Blvd, Avon, CO 81620 2017-08-09
1932561222 Farmington Valley Integrative Therapy, LLC Psychologist 35 Tower Ln Ste 104, Avon, CT 06001-4237 2016-03-24
1467609065 Christi M Orlowski Psychologist 21 Waterville Road, Avon, CT 06001 2008-08-26
1245494343 Hsiao-ching Chu Psychologist 1 Darling Dr Ste 16, Avon, CT 06001-4244 2008-07-17
1912160417 Tina Z Fleishman Psychologist 30 Benchmark Road, Suite 224, Avon, CO 81620 2008-07-03
1427121433 Jay Rogers Beatman Psychologist 46 W Avon Rd, Ste 302, Avon, CT 06001-3679 2006-11-16
1205913340 Wendy F Habelow Psychologist 40 Dale Road, Suite 201, Avon, CT 06001 2006-11-01
1053335232 Henry J. Goetze Psychologist 100 W. Beaver Creek Blvd, Suite 218, Avon, CO 81620-8572 2006-07-27
1073567889 Doris Odell Ryan Psychologist 6655 Us 36 East, Cummins Behavioral Health Services, Avon, IN 46123 2006-05-19
1366928053 Joseph A Cherepon Psychologist 21 Waterville Rd, Avon, CT 06001-2097 2018-07-16
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Competitor

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City AVON
Zip Code 06001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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