Provider Demographics
NPI:1750459251
Name:HURWIT, SUSAN ELLEN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:ELLEN
Last Name:HURWIT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 BOWDOIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02461-1432
Mailing Address - Country:US
Mailing Address - Phone:617-795-1661
Mailing Address - Fax:
Practice Address - Street 1:44 BOWDOIN ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02461-1432
Practice Address - Country:US
Practice Address - Phone:617-795-1661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4565103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist