Individual
SUSAN P. HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1 LONG WHARF DR, SUITE 321, NEW HAVEN, CT 06511-5991
(203) 781-4640
(203) 781-4682
Mailing address
21 PRATT ST, ESSEX, CT 06426-1122
(860) 767-8025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
E49199
CT
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
E49199
CT
Other
Enumeration date
07/07/2006
Last updated
06/11/2012
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