Provider Demographics
NPI:1487402681
Name:MASCHI, SUZETTE (LPC)
Entity type:Individual
Prefix:MS
First Name:SUZETTE
Middle Name:
Last Name:MASCHI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:WINSTED
Mailing Address - State:CT
Mailing Address - Zip Code:06098-2525
Mailing Address - Country:US
Mailing Address - Phone:203-228-0404
Mailing Address - Fax:
Practice Address - Street 1:106 CHAPEL RD
Practice Address - Street 2:
Practice Address - City:WINSTED
Practice Address - State:CT
Practice Address - Zip Code:06098-2525
Practice Address - Country:US
Practice Address - Phone:203-228-0404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-11
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7244101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional