Individual
SUSAN MCGLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-4248
Mailing address
138 WOODCHESTER DR, CHESTNUT HILL, MA 02467-1052
(617) 965-7174
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6613
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0526231
—
MA
Enumeration date
02/02/2007
Last updated
04/05/2016
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