Individual
ARDEN SUGEILY LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 ANNAFRAN ST, ROSLINDALE, MA 02131-4705
(857) 350-2159
Mailing address
50 ANNAFRAN ST, ROSLINDALE, MA 02131-4705
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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