Ilannah Deshazier
Psychologist in Brockton, Massachusetts
1144909029- Practice location
- 74 Plain St Unit 74J, Brockton, MA 02301-7162
- Phone
- 508-690-6069
- Fax
- —
- Last updated
- July 17, 2023
Ilannah Deshazier is a Psychologist based in Brockton, MA. Ilannah Deshazier practices in Brockton, MA. The NPI Number for Ilannah Deshazier is 1144909029. The current practice location address for Ilannah Deshazier is 74 Plain St Unit 74J, Brockton, MA 02301-7162 and can be reached out via phone at 508-690-6069.
Provider Profile Details
- NPI Number
- 1144909029
- Provider Name
- Ilannah Deshazier
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 74 Plain St Unit 74J, Brockton, MA 02301-7162
- Phone Number
- 508-690-6069
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 17, 2023
- Last Update Date
- July 17, 2023
- Certification Date
- July 17, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 74 Plain St Unit 74J
Brockton, MA 02301-7162 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-7162
- Phone Number
- 508-690-6069
Provider Business Mailing Address Details
- Address
- 770 Cummins Hwy Apt 10
Mattapan, MA 02126-1740 - City
- Mattapan
- State
- MA
- Zip
- 02126-1740
- Phone Number
- 252-207-2415
License Information
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologists near Brockton, MA
View all Psychologists in Brockton →Frequently Asked Questions
What is the NPI number of Ilannah Deshazier?
The NPI number of Ilannah Deshazier is 1144909029. It was assigned on July 17, 2023 and is currently active in the NPPES registry.
What is the specialty of Ilannah Deshazier?
Ilannah Deshazier is registered under the primary taxonomy Psychologist (code 103T00000X).
Where does Ilannah Deshazier practice?
The practice location is 74 Plain St Unit 74J, Brockton, MA 02301-7162. The office can be reached at 508-690-6069 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144909029 directly on the NPPES registry website.