Healthcare Provider Details

I. General information

NPI: 1326109471
Provider Name (Legal Business Name): SUSAN JUDITH DUGAN CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 MANSFIELD ROAD ARJONA 4TH FLOOR
STORRS CT
06269-0001
US

IV. Provider business mailing address

337 MANSFIELD ROAD ARJONA 4TH FLOOR
STORRS CT
06269-0001
US

V. Phone/Fax

Practice location:
  • Phone: 860-486-4705
  • Fax: 860-486-0792
Mailing address:
  • Phone: 860-486-4705
  • Fax: 860-486-0792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberR41382
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: