MS. Susan Lyn Baceski, CAGS, NCSP
NPI #1760789689 in Southborough, Massachusetts
Provider Information
- NPI Number
- 1760789689
- Entity Type
- Individual
- Name
- MS. Susan Lyn Baceski, CAGS, NCSP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - School
- Credential
- CAGS, NCSP
- Enumeration Date
- Feb 14, 2011
- Last Updated
- Feb 14, 2011
Practice Location
- Address
- 95 MOUNT VICKERY RD
- City
- Southborough
- State
- Massachusetts
- ZIP Code
- 01772-1753
- Phone
- (617) 686-2587
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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