Search › Massachusetts › 1041C0700X
Susan Fortgang, P.H.D
NPI 1497992556 · on the registry since 2009 · sole proprietor
Practice
- Address
- 34 Harrison Ave
Northampton, MA 01060 - Phone
- (413) 586-0619
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts