Wilson, Susan Rue

Wilson, Susan Rue is an individual health care provider with primary practice located at 460 Quincy Ave , Quincy MA 02169-8130. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Wilson, Susan Rue can be contacted via phone (617) 774-6070.

Contact Information

Primary practice address
460 Quincy Ave Quincy MA 02169-8130
Phone: (617) 774-6070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 7554 Massachusetts

Profile Details

NPI number 1417061730
LBN Legal business name Wilson, Susan Rue
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 19 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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