Provider Demographics
NPI:1871794842
Name:HANFLING, SUE C (MSW)
Entity type:Individual
Prefix:MS
First Name:SUE
Middle Name:C
Last Name:HANFLING
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:SUKI
Other - Middle Name:
Other - Last Name:HANFLING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:4 A LOCUST LN.
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472
Mailing Address - Country:US
Mailing Address - Phone:617-924-4127
Mailing Address - Fax:
Practice Address - Street 1:73 TRAPELO RD
Practice Address - Street 2:SUITE 1
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-4448
Practice Address - Country:US
Practice Address - Phone:617-489-7592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1038341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical