Individual
JOHN FRANCIS CUSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
403 HIGHLAND AVE, SUITE 211, SOMERVILLE, MA 02144-2530
(617) 666-5800
(617) 666-5832
Mailing address
403 HIGHLAND AVE, SUITE 211, SOMERVILLE, MA 02144-2530
(617) 666-5800
(617) 666-5832
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7105
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CUW05726
BCBS
MA
Enumeration date
12/19/2006
Last updated
07/08/2007
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