Provider Demographics
NPI:1932836830
Name:SUZANNE MOSALIGANTI THERAPY, PLLC
Entity Type:Organization
Organization Name:SUZANNE MOSALIGANTI THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSALIGANTI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:857-523-5560
Mailing Address - Street 1:3 MALLARD DR
Mailing Address - Street 2:
Mailing Address - City:CANAAN
Mailing Address - State:NH
Mailing Address - Zip Code:03741-7579
Mailing Address - Country:US
Mailing Address - Phone:857-523-5600
Mailing Address - Fax:
Practice Address - Street 1:3 MALLARD DR
Practice Address - Street 2:
Practice Address - City:CANAAN
Practice Address - State:NH
Practice Address - Zip Code:03741-7579
Practice Address - Country:US
Practice Address - Phone:857-523-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty