Organization
BOUNTIFUL MENTAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA DEISTER MD (OWNER)
(210) 857-2311
Entity
Organization
Contact information
Practice address
43 NAPLES RD, BROOKLINE, MA 02446-5768
(617) 520-4854
Mailing address
43 NAPLES RD, BROOKLINE, MA 02446-5768
(617) 520-4854
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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