| Doctor Name: | SUSAN LEIGH BAUERFELD |
| NPI Number: | 1144573395 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 003108 |
| Business Practice Address: | 200 Danbury Rd Wilton, CT - 068974030 |
| Business Phone Number: | 2032163751 |
| Business Fax Number: | |
| Mailing Address: | Po Box 581, GEORGETOWN |
| State: | CT |
| Postal Code: | 068290581 |
| Phone Number: | 2032163751 |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2012 |
| NPI Last Update Date: | 10/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 003108 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |