Individual
DR. SUZANNE HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
172 TRAPELO RD, LINCOLN, MA 01773-2904
(781) 259-9881
Mailing address
172 TRAPELO RD, LINCOLN, MA 01773-2904
(781) 259-9881
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
3420
MA
103TB0200X
Cognitive & Behavioral Psychologist
3420
MA
103TC0700X
Clinical Psychologist
3420
MA
103TC1900X
Counseling Psychologist
Primary
3420
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0898
PSYCHOLOGY LICENSE
NM
01
—
3420
PSYCHOLOGY LICENSE
MA
Enumeration date
04/02/2007
Last updated
09/22/2009
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