Individual
MS. SUSAN BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HSW, LCSW
Contact information
Practice address
34 IMPERIAL AVE., WESTPORT, CT 06880
(203) 222-1522
Mailing address
34 IMPERIAL AVE., WESTPORT, CT 06880
(203) 222-1522
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006941
CT
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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