Provider Demographics
NPI:1073189411
Name:NGALE, SUSY KATE JOFI
Entity Type:Individual
Prefix:MS
First Name:SUSY KATE
Middle Name:JOFI
Last Name:NGALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4380 N MAIN ST APT 509
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-1713
Mailing Address - Country:US
Mailing Address - Phone:612-325-8140
Mailing Address - Fax:
Practice Address - Street 1:430 COURT ST STE 3
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-7351
Practice Address - Country:US
Practice Address - Phone:857-939-3682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health