Individual
DR. H SUZANNE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
169 LIBBEY INDUSTRIAL PKWY, 2ND FLOOR, WEYMOUTH, MA 02189-3101
(781) 682-1060
(781) 682-1061
Mailing address
169 LIBBEY INDUSTRIAL PKWY, 2ND FLOOR, WEYMOUTH, MA 02189-3101
(781) 682-1060
(781) 682-1061
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
7771
MA
103TH0100X
Health Service Psychologist
Primary
7771
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0502197
—
MA
01
—
A866565
VALUE OPTIONS PROVIDER NU
MD
01
—
W06212
BCBS PROVIDER NUMBER
MA
Enumeration date
10/16/2006
Last updated
09/11/2025
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