Provider Demographics
NPI:1528366028
Name:SURANSKI, ERIC R (MA, FAMILY THERAPY)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:R
Last Name:SURANSKI
Suffix:
Gender:M
Credentials:MA, FAMILY THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 UNION STREET STREET, 2ND FLOOR
Mailing Address - Street 2:P O BOX 390
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01903-0490
Mailing Address - Country:US
Mailing Address - Phone:781-581-9270
Mailing Address - Fax:
Practice Address - Street 1:280 UNION ST STE 2
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-1355
Practice Address - Country:US
Practice Address - Phone:781-581-9270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)