Individual
TANISHIA DESHA CHOICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, YAWKEY CENTER FOR OUTPATIENT CARE, YAWKEY 6A, BOSTON, MA 02114-2621
(617) 724-5600
(617) 724-5567
Mailing address
PO BOX 381439, CAMBRIDGE, MA 02238-1439
(857) 259-6679
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
250653
MA
2084P0800X
Psychiatry Physician
N7241
TX
Other
Enumeration date
06/02/2008
Last updated
10/09/2012
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