Provider Demographics
NPI:1275356594
Name:CESANA, SUSANNE (HEALTH COACH)
Entity type:Individual
Prefix:
First Name:SUSANNE
Middle Name:
Last Name:CESANA
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 NAUBUC AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-2193
Mailing Address - Country:US
Mailing Address - Phone:860-682-2485
Mailing Address - Fax:
Practice Address - Street 1:27 NAUBUC AVE STE 3
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-2193
Practice Address - Country:US
Practice Address - Phone:860-682-2485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach