The Commonwealth of Massachusetts

NPI #1275680456 in Worcester, Massachusetts

Provider Information

NPI Number
1275680456
Entity Type
Organization
Organization Name
The Commonwealth of Massachusetts
Primary Specialty
Psychiatry & Neurology - Psychiatry
Enumeration Date
Jan 3, 2007
Last Updated
Apr 21, 2023

Practice Location

Address
309 BELMONT ST
ZIP Code
01604-1695
Phone
(508) 368-4000

Authorized Official

Name
KATHY WENZEL
Title
CHIEF EXECUTIVE OFFICER
Phone
(508) 368-3727

Specialties & Taxonomy Codes

Specialty
Psychologist
Physician Assistant
Nurse Practitioner
Clinical Nurse Specialist
Psychiatry & Neurology - PsychiatryPsychiatry

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