Individual
MRS. DORRETT YVETTE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105
(860) 714-4448
Mailing address
1 BESTOR LN STE 7, BLOOMFIELD, CT 06002-2485
(860) 847-0035
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
013012
CT
Other
Enumeration date
03/21/2024
Last updated
04/04/2025
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