Provider Demographics
NPI:1386780518
Name:CARON, SUZANNE L (MA)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:L
Last Name:CARON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ASHBY
Mailing Address - State:MA
Mailing Address - Zip Code:01431-2303
Mailing Address - Country:US
Mailing Address - Phone:978-386-7343
Mailing Address - Fax:
Practice Address - Street 1:55 LAKE ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-3876
Practice Address - Country:US
Practice Address - Phone:508-849-5648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor