LYNN SUPPE PH.D. LLC NPI 1801090931

NPI Information

  • NPI: 1801090931
  • Provider Name: LYNN SUPPE, PH.D., LLC
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 1 BRADLEY RD
    SUITE 904
    WOODBRIDGE, CT
    ZIP 06525
  • Phone: (203) 799-9977

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NPI Details

LYNN SUPPE, PH.D., LLC is a point of service in Woodbridge, CT. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. LYNN SUPPE, PH.D., LLC NPI is 1801090931. The provider is registered as an organization entity type.

The provider's business location address is:

1 BRADLEY RD
SUITE 904
WOODBRIDGE, CT
ZIP 06525-285
Phone: (203) 799-9977
Fax: (203) 397-1510

The provider's authorized official is Lynn Suppe .
The authorized official title is Psychologist and has the following contact phone number (203) 799-9977.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of Service03-249962CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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