Healthcare Provider Details

I. General information

NPI: 1649040817
Provider Name (Legal Business Name): A STEP IN THE RIGHT DIRECTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 01/08/2024
Certification Date: 01/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 MAIN ST STE 3
WENHAM MA
01984-1459
US

IV. Provider business mailing address

225 MAIN ST STE 3
WENHAM MA
01984-1459
US

V. Phone/Fax

Practice location:
  • Phone: 978-973-5470
  • Fax: 978-607-4138
Mailing address:
  • Phone: 978-973-5470
  • Fax: 978-607-4138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. SUSAN MARIE DELUCA
Title or Position: DIRECTOR
Credential: MD
Phone: 978-973-5470