Most Relevant Information
Provider Data
| NPI Number: | 1003469818 |
| Provider Name: | SUSAN ROBIN BASS LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 002008 |
Most Important Dates
| Enumeration Date: | 07/20/2019 |
| Last Updated: | 07/20/2019 |
Provider Practice Location
27 MAIN ST
HEBRON
CT
062481514
Practice Location Phone/Fax
| Phone: | 8602281287 |
| Fax: |
Provider Mailing Location
17 HERITAGE RD
COLUMBIA
CT
062371047
Provider Mailing Phone/Fax
| Phone: | 8609424924 |
| Fax: |