Prescott, Robert Su

Prescott, Robert Su is an individual health care provider with primary practice located at 30 General St , Lawrence MA 01840-1809. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Prescott, Robert Su can be contacted via phone (978) 683-3128.

Contact Information

Primary practice address
30 General St Lawrence MA 01840-1809
Phone: (978) 683-3128
Fax: (978) 682-7296
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1169 New Hampshire

Profile Details

NPI number 1871761981
LBN Legal business name Prescott, Robert Su
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2008
Last updated Feb 1st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871761981 NPPES
New Hampshire MEDICAID 30427022

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