Kavanaugh, Susannah E

Kavanaugh, Susannah E is an individual health care provider with primary practice located at 57 Philip St , Medfield MA 02052-2704. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kavanaugh, Susannah E can be contacted via phone (508) 566-4323.

Contact Information

Primary practice address
57 Philip St Medfield MA 02052-2704
Phone: (508) 566-4323
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 8720 Massachusetts

Profile Details

NPI number 1790053080
LBN Legal business name Kavanaugh, Susannah E
Credentials MA, LMHC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2011
Last updated Sep 20th, 2016 - about 8 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.

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