Most Relevant Information
Provider Data
| NPI Number: | 1003015512 |
| Provider Name: | SUSAN MARY CHASSON MFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 36766 |
Most Important Dates
| Enumeration Date: | 07/13/2007 |
| Last Updated: | 07/13/2007 |
Provider Practice Location
2145 MCGEE AVE
BERKELEY
CA
947031418
Practice Location Phone/Fax
| Phone: | 5105491567 |
| Fax: |
Provider Mailing Location
2145 MCGEE AVE
BERKELEY
CA
947031418
Provider Mailing Phone/Fax
| Phone: | 5105491567 |
| Fax: |