Individual
DR. SUSAN R MEMINGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
15 PARKMAN ST, WAC 8, BOSTON, MA 02114-3117
(617) 724-5600
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3682
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900166
TUFTS HEALTH PLAN
MA
Enumeration date
11/02/2005
Last updated
07/08/2007
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