Doctor Name: | DR. SUSAN M RASHBA |
NPI Number: | 1104042894 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1907 |
Business Practice Address: | 9 Foster St Wakefield, MA - 018802911 |
Business Phone Number: | 7812455162 |
Business Fax Number: | |
Mailing Address: | 9 Foster St, WAKEFIELD |
State: | MA |
Postal Code: | 018802911 |
Phone Number: | 7812455162 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |