Individual
MS. SUSAN FORMAN HOCHSTEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN ,LADC 1
Contact information
Practice address
298 WASHINGTON ST., THE DISCOVER PROGRAM, GLOUCESTER, MA 01930
(978) 283-4001
Mailing address
39 MIDDLE ST, UNIT 1, NEWBURYPORT, MA 01950-2755
(978) 463-8724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
719
MA
163W00000X
Registered Nurse
213360
MA
Other
Enumeration date
09/07/2006
Last updated
09/11/2025
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