Susan V Allen, LIC. AC.

Individual provider Active NPI Acupuncturist · Cambridge, MA

NPI 1740323203 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1740323203
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
402 (MA)
Practice address
60 Dudley St
Cambridge, MA 02140-2404
Phone
(617) 876-9135
NPI assigned
Feb 15, 2007
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)
No

State licenses

LicenseStateTypeSpecialty
402MAMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 402 MA Yes

Addresses

Primary practice location

60 Dudley St
Cambridge, MA 02140-2404

Mailing address

24 North St
Salem, MA 01970-3963
Phone (617) 876-9135

Other providers in Cambridge, MA

All providers in Cambridge, MA · Acupuncturist in Massachusetts

Sources for this page

Verify at the official NPI Registry.