| Doctor Name: | DR. H SUZANNE MOON |
| NPI Number: | 1104906114 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 7771 |
| Business Practice Address: | 169 Libbey Industrial Pkwy 2nd Floor Weymouth, MA - 021893101 |
| Business Phone Number: | 7816821060 |
| Business Fax Number: | 7816821061 |
| Mailing Address: | 169 Libbey Industrial Pkwy, 2nd Floor WEYMOUTH |
| State: | MA |
| Postal Code: | 021893101 |
| Phone Number: | 7816821060 |
| Fax Number: | 7816821061 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 7771 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |