Organization
HANOVER PSYCHIATRY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE A DELISLE APRN, PMHCNS-BC (OWNER)
(781) 924-6080
Entity
Organization
Contact information
Practice address
273 HANOVER ST STE 7, HANOVER, MA 02339-2234
(617) 538-8232
(857) 344-0023
Mailing address
273 HANOVER ST STE 7, HANOVER, MA 02339-2234
(617) 538-8232
(857) 344-0023
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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