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Psychiatry And Primary Care
Psychiatric/Mental Health Nurse Practitioner in Springfield, Massachusetts
NPI 1053174235

Psychiatry And Primary Care is a Psychiatric/Mental Health Nurse Practitioner based in Springfield, MA and is specialized in Psychiatric/Mental Health. Psychiatry And Primary Care practices in Springfield, MA. The NPI Number for Psychiatry And Primary Care is 1053174235 and holds a License No. (Massachusetts).

The current practice location address for Psychiatry And Primary Care is 103 Fern St, Springfield, MA and can be reached out via phone at 617-356-7971.

Location: 103 Fern St, Springfield, MA, 01108-2957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053174235
Provider Name
Psychiatry And Primary Care
Credential
Provider Entity Type
Organization
Address
103 Fern St, Springfield, MA, 01108-2957
Phone Number
617-356-7971
Fax Number
Provider Enumeration Date
01/31/2024
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110187099A 05 MA
institution
Provider Business Practice Location Address Details
Address
103 Fern St
City
Springfield
State
Massachusetts
Zip
01108-2957
Phone Number
617-356-7971
Fax Number
person
Provider Business Mailing Address Details
Address
103 Fern St
City
Springfield
State
Massachusetts
Zip
01108-2957
Phone Number
617-356-7971
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
()
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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