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Organization
PSYCHIATRIC HELATHCARE
Active
Organization
PSYCHIATRIC HELATHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALINA WRAY APRN (OWNER)
(413) 374-5226
Entity
Organization
Contact information
Practice address
175 DWIGHT RD STE 303-C, LONGMEADOW, MA 01106-1576
(413) 374-5226
Mailing address
125 PATTERSON AVE, EAST LONGMEADOW, MA 01028-1700
(413) 374-5226
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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