Susan E Dieterich, PHD in Westport, CT - Psychologist

Susan E Dieterich, PHD is a Psychologist based in Westport, Connecticut. Susan E Dieterich is licensed to practice in Connecticut (license number 002826) and her current practice location is 64 Post Rd W, Westport, Connecticut. She can be reached at her office (for appointments etc.) via phone at (203) 231-6188.

NPI number for Susan E Dieterich is 1184642811 and her current mailing address is 64 Post Rd W, Westport, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184642811.

Contact Information

	Susan E Dieterich, PHD
	64 Post Rd W, Westport, CT 06880-4208
	(203) 231-6188
	Not Available

Healthcare Provider's Profile

Full Name	Susan E Dieterich
Gender	Female
Speciality	Psychologist
Location	64 Post Rd W, Westport, Connecticut
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1184642811
Provider Enumeration Date: 07/18/2006
Last Update Date: 10/20/2016

Medical Identifiers

Medical identifiers for Susan E Dieterich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184642811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	002826 (Connecticut)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan E Dieterich is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Susan E Dieterich, PHD 64 Post Rd W, Westport, CT 06880-4208 Ph: (203) 231-6188	Susan E Dieterich, PHD 64 Post Rd W, Westport, CT 06880-4208 Ph: (203) 231-6188

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Susan E Dieterich, PHD - Psychologist in Westport, CT