Individual
SUSAN L MANHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
99 E CENTRAL ST, NATICK, MA 01760-3647
(508) 655-1365
Mailing address
99 E. CENTRAL ST., NATICK, MA 01760
(508) 655-1365
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3970
MA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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