Organization
PSYCHIATRIC HEALTH ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN BOORIN PHD, APRN-BC (NURSE PRACTITIONER)
(203) 693-2636
Entity
Organization
Contact information
Practice address
75 NEW HAVEN AVE, MILFORD, CT 06460-4854
(203) 693-2636
(203) 874-2965
Mailing address
75 NEW HAVEN AVE, MILFORD, CT 06460-4854
(203) 693-2636
(203) 874-2965
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3777
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8040766
—
CT
Enumeration date
07/23/2014
Last updated
07/23/2014
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