Active NPIIndividual provider

Ms. Susan Bantu, MED (CHD)

Counselor in Charlton, Massachusetts

NPI Number1235919929
Practice location
159 Worcester RD Ste 103, Charlton, MA 01507-1677
Fax
508-620-0134
Last updated
October 2, 2023

Susan Bantu is a Counselor based in Charlton, MA. Susan Bantu practices in Charlton, MA and has the professional credentials of MED (CHD). The NPI Number for Susan Bantu is 1235919929. The current practice location address for Susan Bantu is 159 Worcester RD Ste 103, Charlton, MA 01507-1677 and can be reached out via phone at 508-469-3192 and via fax at 508-620-0134.

Provider Profile Details

NPI Number
1235919929
Provider Name
Susan Bantu
Credential
MED (CHD)
Provider Entity Type
Individual
Gender
Female
Address
159 Worcester RD Ste 103, Charlton, MA 01507-1677
Phone Number
508-469-3192
Fax Number
508-620-0134
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
October 2, 2023
Last Update Date
October 2, 2023
Certification Date
October 2, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
159 Worcester RD Ste 103
Charlton, MA 01507-1677
Zip
01507-1677
Phone Number
508-469-3192
Fax Number
508-620-0134
Charlton, MA 01507Get directions →

Provider Business Mailing Address Details

Address
159 Worcester RD Ste 103
Charlton, MA 01507-1677
City
Charlton
State
MA
Zip
01507-1677
Phone Number
508-469-3192
Fax Number
508-620-0134

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Susan Bantu, MED (CHD)?

The NPI number of Ms. Susan Bantu, MED (CHD) is 1235919929. It was assigned on October 2, 2023 and is currently active in the NPPES registry.

What is the specialty of Ms. Susan Bantu, MED (CHD)?

Ms. Susan Bantu, MED (CHD) is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Ms. Susan Bantu, MED (CHD) practice?

The practice location is 159 Worcester RD Ste 103, Charlton, MA 01507-1677. The office can be reached at 508-469-3192 (phone) or 508-620-0134 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235919929 directly on the NPPES registry website.

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