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
Fax: (617) 332-7341
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568432649 NPPES
Massachusetts Other P01316 BLUE CROSS BLUE SHIELD

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