Individual
SUSAN ASHBY TOLEOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C
Contact information
Practice address
3 DUNDEE PARK DR, STE 203, ANDOVER, MA 01810-3751
(978) 475-3590
Mailing address
3 DUNDEE PARK DR, STE 203, ANDOVER, MA 01810-3751
(978) 475-3590
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5150
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312294
—
MA
Enumeration date
07/19/2007
Last updated
08/09/2012
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