Organization
LYNN SUPPE, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN SUPPE PH.D. (PSYCHOLOGIST)
(203) 799-9977
Entity
Organization
Contact information
Practice address
1 BRADLEY RD, SUITE 904, WOODBRIDGE, CT 06525-2285
(203) 799-9977
(203) 397-1510
Mailing address
1 BRADLEY RD, SUITE 904, WOODBRIDGE, CT 06525-2285
(203) 799-9977
(203) 397-1510
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
03-249962
CT
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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