Organization
ALTA MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISSA FODOR NP (NP/ OWNER)
(617) 959-3994
Entity
Organization
Contact information
Practice address
100 HIGHLAND AVE STE 204, SALEM, MA 01970-2702
(617) 959-3994
Mailing address
100 HIGHLAND AVE STE 204, SALEM, MA 01970-2702
(617) 959-3994
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
02/17/2025
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