Individual
DR. OLIVIA MEDVEDOW SUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
92 KNOLLWOOD LN, NEW CANAAN, CT 06840-2931
(617) 872-9685
Mailing address
92 KNOLLWOOD LN, NEW CANAAN, CT 06840-2931
(617) 872-9685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023112
NY
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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