Search › Massachusetts › 103TC0700X
Elizabeth Souffront, PHD
NPI 1720029085 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1400 Hancock St Fl 2
Quincy, MA 02169 - Phone
- (617) 774-0331
- Fax
- (617) 774-0336
- Organisation at this address
- Advanced Dental Care Of Quincy Pc
Mattick Behavioral Health Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103T00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-01
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