Sorrentino, Susan A

Sorrentino, Susan A is an individual health care provider with primary practice located at 266 Essex St Unit #2, Salem MA 01940. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Sorrentino, Susan A can be contacted via phone (978) 741-9011.

Contact Information

Primary practice address
266 Essex St Unit #2 Salem MA 01940
Fax: (978) 741-8610
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6294 Massachusetts

Profile Details

NPI number 1679605893
LBN Legal business name Sorrentino, Susan A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - about 17 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 1679605893 NPPES
Massachusetts Other 062940 TUFTS
Massachusetts Other W05043 TUFTS

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