| Doctor Name: | DR. JESSICA SURRETT |
| NPI Number: | 1063669760 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 9701 |
| Business Practice Address: | 1044 Central St Suite 201 Stoughton, MA - 020724423 |
| Business Phone Number: | 7814377513 |
| Business Fax Number: | |
| Mailing Address: | 1044 Central St, Suite 201 STOUGHTON |
| State: | MA |
| Postal Code: | 020724423 |
| Phone Number: | 7814377513 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2008 |
| NPI Last Update Date: | 09/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 9701 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |