Doctor Name: | SUHAM KHOSHABA |
NPI Number: | 1841519014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 20 Wheeler St Suite 401 Lynn, MA - 019024416 |
Business Phone Number: | 7814179643 |
Business Fax Number: | |
Mailing Address: | 132 S Common St, Apt. 103 LYNN |
State: | MA |
Postal Code: | 019024582 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/26/2010 |
NPI Last Update Date: | 05/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |