Mrs. Susannah E Kavanaugh, MA, LMHC, NCC
Counselor, Professional in Medfield, Massachusetts
1790053080- Practice location
- 57 Philip St, Medfield, MA 02052-2704
- Phone
- 508-566-4323
- Fax
- —
- Last updated
- September 20, 2016
Susannah E Kavanaugh is a Counselor, Professional based in Medfield, MA. Susannah E Kavanaugh practices in Medfield, MA and has the professional credentials of MA, LMHC, NCC. The NPI Number for Susannah E Kavanaugh is 1790053080 and holds a License No. 8720 (MA). The current practice location address for Susannah E Kavanaugh is 57 Philip St, Medfield, MA 02052-2704 and can be reached out via phone at 508-566-4323.
Provider Profile Details
- NPI Number
- 1790053080
- Provider Name
- Susannah E Kavanaugh
- Credential
- MA, LMHC, NCC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 57 Philip St, Medfield, MA 02052-2704
- Phone Number
- 508-566-4323
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 1, 2011
- Last Update Date
- September 20, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 57 Philip St
Medfield, MA 02052-2704 - City
- Medfield
- State
- Massachusetts
- Zip
- 02052-2704
- Phone Number
- 508-566-4323
Provider Business Mailing Address Details
- Address
- 57 Philip St
Medfield, MA 02052-2704 - City
- Medfield
- State
- MA
- Zip
- 02052-2704
- Phone Number
- 508-566-4323
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 8720
- License State (2)
- MA
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mrs. Susannah E Kavanaugh, MA, LMHC, NCC?
The NPI number of Mrs. Susannah E Kavanaugh, MA, LMHC, NCC is 1790053080. It was assigned on December 1, 2011 and is currently active in the NPPES registry.
What is the specialty of Mrs. Susannah E Kavanaugh, MA, LMHC, NCC?
Mrs. Susannah E Kavanaugh, MA, LMHC, NCC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in MA under license number 8720.
Where does Mrs. Susannah E Kavanaugh, MA, LMHC, NCC practice?
The practice location is 57 Philip St, Medfield, MA 02052-2704. The office can be reached at 508-566-4323 (phone).
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 1790053080 directly on the NPPES registry website.