Basic Information
| Provider Information | |||||||||
| NPI: | 1124677828 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GREENFIELD | ||||||||
| FirstName: | SUSAN | ||||||||
| MiddleName: | ESPO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 50 KNOB HILL ST | ||||||||
| Address2: | |||||||||
| City: | SHARON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020673118 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7818065422 | ||||||||
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| Practice Location | |||||||||
| Address1: | 150 YORK ST | ||||||||
| Address2: | |||||||||
| City: | STOUGHTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02072 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7813440600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/05/2019 | ||||||||
| LastUpdateDate: | 09/05/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 5914 | MA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.