Individual
DR. SUZANNE CIARAMELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6 STORRS RD, SUITE #3, MANSFIELD CENTER, CT 06250
(860) 423-6572
Mailing address
67 SCOTLAND RD, WINDHAM, CT 06280-1219
(860) 916-4253
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002467
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002467CT01
ANTHEM BCBS
CT
01
—
345897
MHN
CT
Enumeration date
01/24/2007
Last updated
07/08/2007
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