Organization
SUSAN CZERNICKA PC
Active
Organization
SUSAN CZERNICKA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN CZERNICKA EDD (PSYCHOLOGIST)
(617) 835-8175
Entity
Organization
Contact information
Practice address
800 PURCHASE ST, SUITE 306, NEW BEDFORD, MA 02740-6355
(617) 835-8175
(508) 300-0206
Mailing address
1414 DRIFT RD, WESTPORT, MA 02790-1629
(617) 835-8175
(508) 300-0206
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2731
MA
Other
Enumeration date
05/14/2007
Last updated
11/21/2008
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