Susan J Grillo in New London - Psychiatric/mental Health
Susan J Grillo - NPI 1962584284
Susan J Grillo is a Psychiatric/mental Health in New London, Connecticut. Susan J Grillo practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Susan J Grillo is 1962584284. The last update date is 2007-07-09.
Susan J Grillo's current location address is 365 Montauk Ave, New London, Connecticut. You can contact this provider via phone number 8604420711 and fax number 8604440863. The mailing address for Susan J Grillo is 365 Montauk Ave, New London, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan J Grillo |
|---|---|
| Address | 365 Montauk Ave, New London, Connecticut |
| Phone Number | 8604420711 |
| Fax Number | 8604440863 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1962584284 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 365 Montauk Ave |
|---|---|
| City | New London |
| State | Connecticut (CT) |
| Post Code | 63204700 |
| Phone Number | 8604420711 |
| Fax Number | 8604440863 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 1526 |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4024972 | CT | -- | |
| 4014679 | CT | -- |
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What is the unique 10-digit identifier code assigned to Susan J Grillo by the Centers for Medicare & Medicaid Services?
The Susan J Grillo has been issued the NPI (National Provider Identifier) 1962584284 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Susan J Grillo located?
The Susan J Grillo is located at 365 Montauk Ave, New London, CT 63204700.
What is Susan J Grillo's area of expertise and its corresponding taxonomy classification?
The Susan J Grillo's field of specialization is Psychiatric/mental Health, and it falls under the taxonomy code 363Lp0808X, which categorizes healthcare providers based on their areas of practice.
On what date did the Susan J Grillo receive the assignment of its 1962584284 from the Centers for Medicare & Medicaid Services?
The Susan J Grillo was issued its 1962584284 by the Centers for Medicare & Medicaid Services on 2006-10-19.
As of what date were the Susan J Grillo's details last updated?
The information pertaining to the Susan J Grillo, including its address, specialty, and other details, was most recently updated on 2007-07-09.
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