Organization
HYDE PARK BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE THEODORE DENNIS FPMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(617) 413-6618
Entity
Organization
Contact information
Practice address
1234 HYDE PARK AVE STE 205, BOSTON, MA 02136-2819
(617) 413-6618
(617) 333-8229
Mailing address
1234 HYDE PARK AVE STE 205, BOSTON, MA 02136-2819
(617) 413-6618
(617) 333-8229
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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