Individual
DR. SUSAN REBECCA UBER
Active
Individual
DR. SUSAN REBECCA UBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
CT1083
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037247
MHN
CT
01
—
040799
CONNECTICARE
CT
01
—
060001083CT01
ANTHEM BLUE CROSS
CT
01
—
223412
MAGELLAN BEHAVIORAL HEALT
CT
01
—
544802
AETNA
CT
01
—
MIS014
OXFORD
CT
01
—
V-316S
EMPIRE BLUE CROSS
NY
Enumeration date
08/07/2006
Last updated
07/08/2007
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