FORM PSYCHIATRY PLLC

BOSTON, MA
NPI1316817117
Entity TypeOrganization
Authorized ContactLISA ROSANO
Psychiatric Nurse Practitioner
305-798-8889
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2025-11-06
Last Update Date2025-11-06
Business Address
FORM PSYCHIATRY PLLC
45 STUART ST APT 1405
BOSTON, MA 02116-4754
Phone number: 305-798-8889
Mailing Address
FORM PSYCHIATRY PLLC
45 STUART ST APT 1405
BOSTON, MA 02116-4754
Phone number: