Mascoop, Susan

Mascoop, Susan is an sole proprietor health care provider with primary practice located at 232 Blue Hill Ave , Milton MA 02186-1155. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Mascoop, Susan can be contacted via phone (617) 696-7236.

Contact Information

Primary practice address
232 Blue Hill Ave Milton MA 02186-1155
Phone: (617) 696-7236
Fax: (617) 323-7301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6875 Massachusetts
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6875 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6875 Massachusetts

Profile Details

NPI number 1093863144
LBN Legal business name Mascoop, Susan
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093863144 NPPES
Massachusetts Other W50009 BLUE CROSS
Massachusetts MEDICAID 0503339 BLUE CROSS

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