Individual
DR. SUSAN GALE STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1679 MASS AVE, CAMBRIDGE, MA 02138
(617) 441-4000
(617) 441-3030
Mailing address
1679 MASS AVE, CAMBRIDGE, MA 02138
(617) 441-4000
(617) 441-3030
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8096
MA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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