| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SUSANNE WITHROW | 1144897455 | 2021-06-06 |
Susanne Withrow is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144897455. Registration indicates Susanne Withrow is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Clinical Neuropsychologist (Behavioral Health & Social Service Providers, Clinical Neuropsychologist) (Clinical Neuropsychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Clinical Neuropsychologist, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Psychologist) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Susanne Withrow PHD |
| Practice Office Address | 55 LAKE AVE N WORCESTER, MA US |
| Practice Office Telephone | 4135844040 |
| Mailing Address | 125 FRANKLIN ST APT 2416 WORCESTER, MA 016081475 US |
| Code | Practice | License No State |
|---|---|---|
| 103G00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Clinical Neuropsychologist Behavioral Health & Social Service Providers Clinical Neuropsychologist Clinical Neuropsychologist Behavioral Health/Substance Abuse/Psychiatry Clinical Neuropsychologist Behavioral Health & Social Service Providers | |
| 103T00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist Behavioral Health/Substance Abuse/Psychiatry Psychologist Behavioral Health & Social Service Providers |