Doctor Name: | MS. SUZANNE CAROL CHUTCHIAN |
NPI Number: | 1093045874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 1015658 |
Business Practice Address: | 65 Oak Hill Rd Southborough, MA - 017451014 |
Business Phone Number: | 5086246521 |
Business Fax Number: | 5086246521 |
Mailing Address: | 65 Oak Hill Rd, SOUTHBOROUGH |
State: | MA |
Postal Code: | 017451014 |
Phone Number: | 5086246521 |
Fax Number: | 5086246521 |
NPI Enumeration Date: | 12/30/2009 |
NPI Last Update Date: | 12/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1015658 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |