Individual
SUSAN LANGEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE, LDN
Contact information
Practice address
9 BRANCH ST, METHUEN, MA 01844-1947
(978) 683-9177
(978) 688-8679
Mailing address
9 BRANCH ST, METHUEN, MA 01844-1947
(978) 683-9177
(978) 688-8679
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042058
TUFTS HEALTH PLAN
MA
01
—
39437
HARVARD PILGRIM
MA
01
—
LD0019
BC/BS OF MA
MA
Enumeration date
05/24/2005
Last updated
07/08/2007
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