Organization
DESROSIERS PSYCHIATRIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARAH DESROSIERS (NP-PSYCH/MENTAL HEALTH)
(617) 953-0736
Entity
Organization
Contact information
Practice address
1 WELBY RD, NEW BEDFORD, MA 02745-1137
(508) 556-0385
(508) 998-1140
Mailing address
23 BERNICE AVE, BROCKTON, MA 02301-5010
(508) 556-0385
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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