MRS. SUSANNAH E KAVANAUGH MA LMHC NCC NPI 1790053080

NPI Information

NPI: 1790053080
Provider Name: MRS. SUSANNAH E KAVANAUGH, MA, LMHC, NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
57 PHILIP ST
MEDFIELD, MA
ZIP 02052
Phone: (508) 566-4323
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MRS. Susannah E Kavanaugh, MA, LMHC, NCC is a professional counselor in Medfield, MA. MRS. Susannah E Kavanaugh, MA, LMHC, NCC NPI is 1790053080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

57 PHILIP ST
MEDFIELD, MA
ZIP 02052-704
Phone: (508) 566-4323

The enumeration date for this NPI number is 12/1/2011 and was last updated on 9/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	101YP2500X	Counselor	Professional	8720	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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