Individual
DR. SUSAN A SORRENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
266 ESSEX ST, UNIT #2, SALEM, MA 01940
(978) 741-9011
(978) 741-8610
Mailing address
266 ESSEX ST, UNIT #2, SALEM, MA 01945
(978) 741-9011
(978) 741-8610
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6294
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062940
TUFTS
MA
01
—
W05043
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
03/12/2007
Last updated
07/08/2007
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