Individual
DR. SUSAN JEANNE PENAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
238 WASHINGTON ST, MARBLEHEAD, MA 01945-3367
(781) 864-2645
Mailing address
30 STANWOOD RD, SWAMPSCOTT, MA 01907-1508
(781) 842-3826
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7038
MA
Other
Enumeration date
03/22/2006
Last updated
01/23/2012
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