Graesser, Susan Marydith
Graesser, Susan Marydith is an individual health care provider with primary practice located at 36 Walnut Ct , Stoughton MA 02072-4158. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Graesser, Susan Marydith can be contacted via phone (781) 344-0244.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 103447 | Massachusetts |
Profile Details
| NPI number | 1003841487 |
|---|---|
| LBN Legal business name | Graesser, Susan Marydith |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| 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 | 1003841487 | NPPES |
| Massachusetts | Other | P01610 | BLUE CROSS BLUE SHIELD |
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