Provider Demographics
NPI:1609834555
Name:MAHLER, SUSAN T (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:T
Last Name:MAHLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 LINDLEY TER
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2274
Mailing Address - Country:US
Mailing Address - Phone:617-429-3365
Mailing Address - Fax:
Practice Address - Street 1:1314 MASS MOCA WAY BLDG 13
Practice Address - Street 2:
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-2453
Practice Address - Country:US
Practice Address - Phone:413-346-4140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1613002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry