Siroty, Susan D

Siroty, Susan D is an sole proprietor health care provider with primary practice located at 1075 Washington St , West Newton MA 02465-2185. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychoanalysis. Behavioral Health & Social Service Providers / Psychoanalysis is her primary health care specialty. Siroty, Susan D can be contacted via phone (617) 965-1885.

Contact Information

Primary practice address
1075 Washington St West Newton MA 02465-2185
Phone: (617) 965-1885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 7374 Massachusetts
Behavioral Health & Social Service Providers / Psychologist 103T00000X 7374 Massachusetts
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 7374 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7374 Massachusetts
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 7374 Massachusetts
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X 7374 Massachusetts

Profile Details

NPI number 1457343980
LBN Legal business name Siroty, Susan D
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Nov 1st, 2012 - about 14 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 1457343980 NPPES
Massachusetts Other 7374 PSYCHOLOGIST

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