Organization
BOREAL PSYCHIATRY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE MONAHAN MD (OWNER)
(802) 636-4545
Entity
Organization
Contact information
Practice address
4185 ST GEORGE RD, WILLISTON, VT 05495-7695
(802) 636-4545
Mailing address
4185 ST GEORGE RD, WILLISTON, VT 05495-7695
(802) 636-4545
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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