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Organization
WILBRAHAM PSYCHIATRIC SERVICES PLLC
Active
Organization
WILBRAHAM PSYCHIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY J WILBRAHAM NP (OWNER/MANAGING PROVIDER)
(617) 362-6848
Entity
Organization
Contact information
Practice address
867 BOYLSTON STREET, 5TH FLOOR #1334, BOSTON, MA 02116
(617) 362-6848
Mailing address
867 BOYLSTON STREET, 5TH FLOOR #1334, BOSTON, MA 02116
(617) 362-6848
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
06/27/2025
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