Active NPIIndividual providerSole proprietor

Mr. Paul D Shore-Suslowitz, EDD

Psychologist, Clinical in Longmeadow, Massachusetts

NPI Number1871652156
Practice location
171 Dwight RD Ste 301A, Longmeadow, MA 01106-1700
Fax
—
Last updated
May 22, 2025

Paul David Shore-Suslowitz is a Psychologist, Clinical based in Longmeadow, MA. Paul David Shore-Suslowitz practices in Longmeadow, MA and has the professional credentials of EDD. The NPI Number for Paul David Shore-Suslowitz is 1871652156 and holds a License No. 2521 (MA). The current practice location address for Paul David Shore-Suslowitz is 171 Dwight RD Ste 301A, Longmeadow, MA 01106-1700 and can be reached out via phone at 413-575-6801.

Provider Profile Details

NPI Number
1871652156
Provider Name
Paul David Shore-Suslowitz
Credential
EDD
Provider Entity Type
Individual
Gender
Male
Address
171 Dwight RD Ste 301A, Longmeadow, MA 01106-1700
Phone Number
413-575-6801
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 6, 2006
Last Update Date
May 22, 2025
Certification Date
May 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
171 Dwight RD Ste 301A
Longmeadow, MA 01106-1700
Zip
01106-1700
Phone Number
413-575-6801
Longmeadow, MA 01106Get directions →

Provider Business Mailing Address Details

Address
171 Dwight RD Ste 301A
Longmeadow, MA 01106-1700
City
Longmeadow
State
MA
Zip
01106-1700
Phone Number
413-575-6801

License Information

License Number
2521
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · 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 Mr. Paul D Shore-Suslowitz, EDD?

The NPI number of Mr. Paul D Shore-Suslowitz, EDD is 1871652156. It was assigned on December 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Paul D Shore-Suslowitz, EDD?

Mr. Paul D Shore-Suslowitz, EDD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 2521.

Where does Mr. Paul D Shore-Suslowitz, EDD practice?

The practice location is 171 Dwight RD Ste 301A, Longmeadow, MA 01106-1700. The office can be reached at 413-575-6801 (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 1871652156 directly on the NPPES registry website.

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