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Contact Information

LYNN SUPPE, PH.D., LLC
1 BRADLEY RD
SUITE 904
WOODBRIDGE, CT06525-2285
 Phone: 203-799-9977
 Fax: 203-397-1510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for LYNN SUPPE, PH.D., LLC

NPI Number 1801090931
LBN Legal business name LYNN SUPPE, PH.D., LLC
Authorized official LYNN SUPPE - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CT License # 03-249962
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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