Baceski, Susan Lyn

Baceski, Susan Lyn is an sole proprietor health care provider with primary practice located at 95 Mount Vickery Rd , Southborough MA 01772-1753. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Baceski, Susan Lyn can be contacted via phone (617) 686-2587.

Contact Information

Primary practice address
95 Mount Vickery Rd Southborough MA 01772-1753
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 338444 Massachusetts

Profile Details

NPI number 1760789689
LBN Legal business name Baceski, Susan Lyn
Credentials CAGS, NCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2011
Last updated Feb 14th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers