Individual
DR. SUSAN EVA MASSENZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
82 MARLBOROUGH ST, BOSTON, MA 02116
(617) 462-9297
Mailing address
260 CANTON AVE, MILTON, MA 02186-3526
(617) 462-9297
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2513
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WO3029
BLUECROSSBLUESHIELD
MA
Enumeration date
02/09/2007
Last updated
07/08/2007
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