Luckman, Susan
Luckman, Susan is an individual health care provider with primary practice located at 2364 Washington St , Newton MA 02462-1440. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Luckman, Susan can be contacted via phone (617) 332-2047.Contact Information
Primary practice address
2364 Washington St
Newton MA 02462-1440
Phone: (617) 332-2047
Fax: (617) 332-7341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 102366 | Massachusetts |
Profile Details
| NPI number | 1568432649 |
|---|---|
| LBN Legal business name | Luckman, Susan |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Apr 10th, 2008 - about 16 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 | 1568432649 | NPPES |
| Massachusetts | Other | P01316 | BLUE CROSS BLUE SHIELD |
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