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Individual

CAROLYN FRIED SUTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011284-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
144604
VALUE OPTIONS
NY
01
351400000
MAGELLAN
NY
01
7349256
GHI
NY
01
P3617311
OXFORD
NY
01
V1J44
EMP BL CROSS BL SHIELD
NY
01
V677F
EMP BC BS NSLIJ HOSP
NY
Enumeration date
09/11/2006
Last updated
04/07/2022
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