Paul David Shore-Suslowitz in Longmeadow - Clinical
Paul David Shore-Suslowitz - NPI 1871652156
Paul David Shore-Suslowitz is a Clinical in Longmeadow, Massachusetts. Paul David Shore-Suslowitz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul David Shore-Suslowitz is 1871652156. The last update date is 2007-07-08.
Paul David Shore-Suslowitz's current location address is 175 Dwight Rd Ste 303, Longmeadow, Massachusetts. You can contact this provider via phone number 4135679993 and fax number 4135679993. The mailing address for Paul David Shore-Suslowitz is 175 Dwight Rd Ste 303, Longmeadow, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul David Shore-Suslowitz |
|---|---|
| Address | 175 Dwight Rd Ste 303, Longmeadow, Massachusetts |
| Phone Number | 4135679993 |
| Fax Number | 4135679993 |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1871652156 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 175 Dwight Rd Ste 303 |
|---|---|
| City | Longmeadow |
| State | Massachusetts (MA) |
| Post Code | 11061761 |
| Phone Number | 4135679993 |
| Fax Number | 4135679993 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2521 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1859480 | MA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Paul David Shore-Suslowitz by the Centers for Medicare & Medicaid Services?
The Paul David Shore-Suslowitz has been issued the NPI (National Provider Identifier) 1871652156. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Paul David Shore-Suslowitz is physically located?
The Paul David Shore-Suslowitz is physically situated at the following address: 175 Dwight Rd Ste 303, Longmeadow, MA, 11061761.
What is the area of specialization for Paul David Shore-Suslowitz, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Paul David Shore-Suslowitz is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When was the Paul David Shore-Suslowitz's 1871652156 issued?
The Paul David Shore-Suslowitz's 1871652156 was issued on 2006-12-06.
When was the information related to Paul David Shore-Suslowitz most recently updated or refreshed?
The details pertaining to the Paul David Shore-Suslowitz, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.