Individual
DR. SUZE PRUDENT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
986 WALNUT ST, NEWTOWN HIGHLANDS, MA 02161
(617) 969-7670
(617) 641-9544
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4750
MA
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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