Individual
SUSAN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP, MFT
Contact information
Practice address
249 ELM ST, SOMERVILLE, MA 02144-2966
(617) 379-0496
Mailing address
153 YARMOUTH ST, LONGMEADOW, MA 01106-3226
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1919
MA
106H00000X
Marriage & Family Therapist
—
—
235Z00000X
Speech-Language Pathologist
SP-8149-SL
MA
Other
Enumeration date
11/18/2010
Last updated
02/01/2023
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