Individual
MS. ELIZABETH M SOUFFRONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1400 HANCOCK ST FL 2, QUINCY, MA 02169-5233
(617) 774-0331
(617) 774-0336
Mailing address
37 PHIPPS ST, QUINCY, MA 02169-6625
(617) 479-0520
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
7646
MA
103TC0700X
Clinical Psychologist
Primary
7646
MA
Other
Enumeration date
06/09/2006
Last updated
12/01/2020
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