Individual
MS. DOREEN JOANNE D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, CRNP
Contact information
Practice address
40 BOBALA RD, MT TOM CENTER FOR MENTAL HEALTH, HOLYOKE, MA 01040-9632
(413) 536-5473
Mailing address
40 BOBALA RD, MT TOM CENTER FOR MENTAL HEALTH, HOLYOKE, MA 01040-9632
(413) 536-5473
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP015274
PA
Other
Enumeration date
08/26/2015
Last updated
10/12/2016
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