Organization
ULTIMATE PSYCHE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDEI PAUL OWNER (OWNER)
(508) 333-3501
Entity
Organization
Contact information
Practice address
231 MAIN ST STE 204, BROCKTON, MA 02301-4342
(508) 333-3501
Mailing address
231 MAIN ST STE 204, BROCKTON, MA 02301-4342
(508) 333-3501
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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