Individual
DR. SUSANNE R. HASKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12 ARROW ST STE 210, CAMBRIDGE, MA 02138-5105
(617) 939-3422
(617) 965-0611
Mailing address
12 ARROW ST STE 210, CAMBRIDGE, MA 02138-5105
(617) 939-3422
(617) 965-0611
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6271
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W05087
BCBS OF MA
MA
Enumeration date
01/06/2007
Last updated
06/28/2019
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