NPI 1164867792 · live from the CMS NPI Registry
Stephanie L. Bissonnette, D.O.
Psychiatry & Neurology, Neurology in Boston, MA. National Provider Identifier 1164867792, active.
NPI record
| NPI | 1164867792 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118 |
| Practice phone | 617-638-8456 |
| Mailing address | 720 Harrison Avenue, Dob 503, Boston, MA 02118 |
| Enumerated | May 9, 2013 |
| Last updated | June 13, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 274401 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.