SUSAN E DIETERICH PHD LLC

Adolescent and Children Mental Health Clinic/Center · WESTPORT, CT

Organization Active NPI 1598217614

Taxonomy & licensure

Specialty	Code	Primary	License	State
Adolescent and Children Mental Health Clinic/Center	261QM0855X	✓	002826	CT
Adult Mental Health Clinic/Center	261QM0850X		002826	CT

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

SUSAN E DIETERICH PHD LLC — NPI 1598217614