Individual
DR. SUSAN J SAMPL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
34 DALE RD STE 212, AVON, CT 06001-3659
(860) 803-9167
Mailing address
34 DALE RD STE 212, AVON, CT 06001-3659
(860) 803-9167
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1848
CT
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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