Individual provider · Type 1 NPI
Susan Lewis Lally, L.P.C.
Professional Counselor · Ridgefield, CT
NPI number
1396135067
Active
Practice location
142 North St
Ridgefield, CT 06877-2528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 000336 (CT) |
Professional Counselor: Definition to come...
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About NPI 1396135067
Susan Lewis Lally, L.P.C.'s National Provider Identifier is 1396135067, issued on Feb 2, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ridgefield, CT. The record was last updated on Feb 2, 2015.