# SUDBURY RIVER THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043044944
- **Authorized official:** REGINA PERRY SIU MSN, PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (978) 219-4040

## Contact information

- **Practice address:** 260 BOSTON POST RD STE 10, WAYLAND, MA 01778-1888
- **Practice address phone:** (978) 219-4040
- **Practice address fax:** (978) 496-8386
- **Mailing address:** 260 BOSTON POST RD STE 10, WAYLAND, MA 01778-1888
- **Mailing address phone:** (978) 219-4040
- **Mailing address fax:** (978) 496-8386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2024
- **Last updated:** 03/12/2025