| Talitha Koum Psychiatry, Pllc | |
|
500 Granite Ave Milton MA 02186-5626 | |
| (617) 858-4024 | |
| Not Available |
| Full Name | Talitha Koum Psychiatry, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 500 Granite Ave, Milton, Massachusetts |
| Authorized Official Name and Position | Shauntelle Malcolm (OWNER) |
| Authorized Official Contact | 6176151772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Talitha Koum Psychiatry, Pllc 52 Hollingsworth Rd Milton MA 02186-1019 Ph: (617) 615-1772 | Talitha Koum Psychiatry, Pllc 500 Granite Ave Milton MA 02186-5626 Ph: (617) 858-4024 |
| NPI Number | 1184490831 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184490831 | NPI | - | NPPES |
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