Susan Marie Atwell Hall, LMHC

Individual provider Active NPI Mental Health Counselor · Medfield, MA

NPI 1508955337 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508955337
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
4223 (MA)
Practice address
305 North St
Medfield, MA 02052-1211
Phone
(508) 359-4558
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4223 MA Yes

Addresses

Primary practice location

305 North St
Medfield, MA 02052-1211

Mailing address

305 North St
Medfield, MA 02052-1211
Phone (508) 359-4558

Other identifiers

IdentifierTypeStateIssuer
LM0454OtherMABLUECROSSBLUESHIELD

Other providers in Medfield, MA

All providers in Medfield, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.