Organization
PSYCHIATRIC CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREAS LADDIS M.D. (OWNER)
(508) 320-7895
Entity
Organization
Contact information
Practice address
18 INDEPENDENCE LN, SHREWSBURY, MA 01545-6242
(508) 329-7895
(508) 872-6330
Mailing address
18 INDEPENDENCE LN, SHREWSBURY, MA 01545-6242
(508) 329-7895
(508) 872-6330
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
47643
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B99333
—
MA
Enumeration date
08/24/2010
Last updated
08/24/2010
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