Long, Susan Elizabeth

Long, Susan Elizabeth is an sole proprietor health care provider with primary practice located at 62 Derby St Suite 11, Hingham MA 02043-3728. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Long, Susan Elizabeth can be contacted via phone (781) 374-4100.

Contact Information

Primary practice address
62 Derby St Suite 11 Hingham MA 02043-3728
Phone: (781) 374-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4054 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 267712 Massachusetts

Profile Details

NPI number 1760588321
LBN Legal business name Long, Susan Elizabeth
Credentials LMHC, NP, APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Feb 12th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760588321 NPPES
Massachusetts MEDICAID 1854986

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