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Individual

DR. SUSAN REBECCA UBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11 S MAIN ST, MIDDLETOWN, CT 06457-3656
(860) 347-4633
(860) 343-9144
Mailing address
135 CREEK ROW, EAST HADDAM, CT 06423-1327
(860) 873-8140
(860) 343-9144

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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