Individual
DR. SUSAN R. SHNIDMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
50 ROWE ST, MELROSE MEDICAL CENTER, #700, MELROSE, MA 02176-3201
(781) 662-4380
(781) 665-4795
Mailing address
11 SOMERSET RD, LEXINGTON, MA 02420-3519
(781) 861-9132
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
721
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004532476
AETNA INSURANCE CO.
—
05
—
0525618
—
MA
01
—
6170268
UNITED HEALTH CARE
—
01
—
710247
TUFTS HEALTH CARE
MA
01
—
W01422
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
12/13/2005
Last updated
07/08/2007
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