| Lakeside Psychiatry Pc | |
|
5 Water St Shrewsbury MA 01545-4228 | |
| (919) 717-9673 | |
| Not Available |
| Full Name | Lakeside Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5 Water St, Shrewsbury, Massachusetts |
| Authorized Official Name and Position | George Stalcup (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9197179673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Psychiatry Pc 5 Water St Shrewsbury MA 01545-4228 Ph: (919) 717-9673 | Lakeside Psychiatry Pc 5 Water St Shrewsbury MA 01545-4228 Ph: (919) 717-9673 |
| NPI Number | 1124859400 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124859400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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