Individual
DR. SUSAN J FAHLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
281 PLEASANT ST, FRAMINGHAM, MA 01701-4778
(508) 872-4051
Mailing address
43 WHISPERING BROOK RD, MARLBOROUGH, MA 01752-6079
(508) 875-1386
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4074
MA
103TA0700X
Adult Development & Aging Psychologist
4074
MA
103TB0200X
Cognitive & Behavioral Psychologist
4074
MA
103TC0700X
Clinical Psychologist
Primary
4074
MA
103TC1900X
Counseling Psychologist
4074
MA
103TC2200X
Clinical Child & Adolescent Psychologist
4074
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W03989
CLINICAL PSYCHOLOGIST
MA
Enumeration date
01/03/2007
Last updated
11/13/2012
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