Provider Demographics
NPI:1396880688
Name:BRIGGETTE, SUZANNE FLYNN (LMFT, LMHC)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:FLYNN
Last Name:BRIGGETTE
Suffix:
Gender:F
Credentials:LMFT, LMHC
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:
Other - Last Name:FLYNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:494 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-2626
Mailing Address - Country:US
Mailing Address - Phone:781-340-9493
Mailing Address - Fax:
Practice Address - Street 1:1354 HANCOCK ST
Practice Address - Street 2:STE 304
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5109
Practice Address - Country:US
Practice Address - Phone:617-745-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5975101YM0800X
MA1263106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist