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
- City
- Worcester
- State
- Massachusetts
- 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 - Psychiatry — Psychiatry |
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