Individual provider · Type 1 NPI

Susan Berthiaume

Student in an Organized Health Care Education/Training Program · Middletown, CT

NPI number 1326419656 Active

Practice location

20 Tuttle Rd
Middletown, CT 06457

Call (860) 632-3231 Map

Mailing address

91 Northwest Dr
Plainville, CT 06062-1534

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1326419656

Susan Berthiaume's National Provider Identifier is 1326419656, issued on Oct 13, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Middletown, CT. The record was last updated on Oct 13, 2015.