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General NPI Number Information
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NPI Number | 1851460687
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Entity Type | Individual
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Provider Name | SUSAN B. SIRLIN M.A., L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 488 MAIN AVE
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City | NORWALK
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State | CT
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Zip | 06851-1008
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Country | US
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Telephone | 203-324-3167
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Fax |
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Provider Business Mailing Address
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Address Line | 9 SILVER BROOK RD
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City | WESTPORT
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State | CT
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Zip | 06880-1522
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Country | US
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Telephone | 203-226-4541
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 000573
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 000573
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License Number State | CT
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