Doctor Name: | MRS. SUSAN JEAN ROUSE |
NPI Number: | 1033263470 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN,CS, MS |
License Number: | 145988 |
Business Practice Address: | 300 Linden Ponds Way Hingham, MA - 020433769 |
Business Phone Number: | 7815347100 |
Business Fax Number: | 7815347358 |
Mailing Address: | 26 Arborview Rd, JAMAICA PLAIN |
State: | MA |
Postal Code: | 021303419 |
Phone Number: | 7813309865 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 03/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 145988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |