| Tetra Behavioral Services Pllc | |
|
167 Washington St Ste 42 Norwell MA 02061-1797 | |
| (508) 933-9665 | |
| Not Available |
| Full Name | Tetra Behavioral Services Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 167 Washington St Ste 42, Norwell, Massachusetts |
| Authorized Official Name and Position | Elizabeth Sarah Waithira (NURSE PRACTITIONER) |
| Authorized Official Contact | 5089339665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tetra Behavioral Services Pllc 167 Washington St Ste 42 Norwell MA 02061-1797 Ph: (508) 933-9665 | Tetra Behavioral Services Pllc 167 Washington St Ste 42 Norwell MA 02061-1797 Ph: (508) 933-9665 |
| NPI Number | 1578325437 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578325437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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