Organization
PSYCH NP ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE MARIE IENNACO APRN (PSYCHIATRIC NURSE PRACTITIONER)
(203) 285-5399
Entity
Organization
Contact information
Practice address
1090 MAIN ST, BRANFORD, CT 06405-3716
(203) 285-5399
Mailing address
15 LITTLE HOLLOW RD, MADISON, CT 06443-2031
(203) 318-1574
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4459
CT
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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