Roberts, M. Susan

Roberts, M. Susan is an individual health care provider with primary practice located at 269 Conant Road , Weston MA 02493. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Roberts, M. Susan can be contacted via phone (781) 424-9226.

Contact Information

Primary practice address
269 Conant Road Weston MA 02493
Phone: (781) 424-9226
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 3050 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3050 Massachusetts
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 3050 Massachusetts

Profile Details

NPI number 1346478815
LBN Legal business name Roberts, M. Susan
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2009
Last updated Jun 23rd, 2009 - about 15 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 1346478815 NPPES
Massachusetts MEDICAID 0516155

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