Brooks, Suzanne Diehl
Brooks, Suzanne Diehl is an sole proprietor health care provider with primary practice located at 60 Oak Knoll Ter , Needham MA 02492-1828. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brooks, Suzanne Diehl can be contacted via phone (617) 262-8177.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7983 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 7983 | Massachusetts |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 7983 | Massachusetts |
Profile Details
| NPI number | 1699821918 |
|---|---|
| LBN Legal business name | Brooks, Suzanne Diehl |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699821918 | NPPES |
| Massachusetts | Other | W06235 | BLUE CROSS PROVIDER ID |
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