Ananses Wisdom Psychiatry Pllc | |
2 Granite Ave Ste 260 Milton MA 02186-4381 | |
(617) 615-9702 | |
Not Available |
Full Name | Ananses Wisdom Psychiatry Pllc |
---|---|
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 2 Granite Ave Ste 260, Milton, Massachusetts |
Authorized Official Name and Position | Micaela Owusu (OWNER) |
Authorized Official Contact | 6176159702 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ananses Wisdom Psychiatry Pllc 2 Granite Ave Ste 260 Milton MA 02186-4381 Ph: (617) 615-9702 | Ananses Wisdom Psychiatry Pllc 2 Granite Ave Ste 260 Milton MA 02186-4381 Ph: (617) 615-9702 |
NPI Number | 1124877931 |
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Provider Enumeration Date | 05/14/2024 |
Last Update Date | 05/14/2024 |
Certification Date | 05/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124877931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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