Siroty, Susan D
Siroty, Susan D is an sole proprietor health care provider with primary practice located at 1075 Washington St , West Newton MA 02465-2185. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychoanalysis. Behavioral Health & Social Service Providers / Psychoanalysis is her primary health care specialty. Siroty, Susan D can be contacted via phone (617) 965-1885.Contact Information
Primary practice address
1075 Washington St
West Newton MA 02465-2185
Phone: (617) 965-1885
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | 7374 | Massachusetts |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 7374 | Massachusetts |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 7374 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7374 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 7374 | Massachusetts |
| Behavioral Health & Social Service Providers / Psychoanalysis | 103TP0814X | 7374 | Massachusetts |
Profile Details
| NPI number | 1457343980 |
|---|---|
| LBN Legal business name | Siroty, Susan D |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Nov 1st, 2012 - about 12 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 | 1457343980 | NPPES |
| Massachusetts | Other | 7374 | PSYCHOLOGIST |
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