Organization
MASSACHUSETTS PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEENAKSHI VEMURI MD (AUTHORIZED)
(508) 418-6888
Entity
Organization
Contact information
Practice address
258 MAIN ST, STURBRIDGE, MA 01566-1540
(508) 418-6888
(508) 418-6886
Mailing address
258 MAIN ST, STURBRIDGE, MA 01566-1540
(508) 418-6888
(508) 418-6886
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
09/06/2016
Last updated
01/10/2024
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