Healthcare Provider Details

I. General information

NPI: 1396078382
Provider Name (Legal Business Name): NADIA JEUDY-PIERRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NADIA JEUDY

II. Dates (important events)

Enumeration Date: 09/09/2009
Last Update Date: 09/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 E NEWTON ST BEST 6TH FLOOR
BOSTON MA
02118-2340
US

IV. Provider business mailing address

85 E NEWTON ST BEST 6TH FLOOR
BOSTON MA
02118-2340
US

V. Phone/Fax

Practice location:
  • Phone: 617-414-8336
  • Fax: 617-414-1975
Mailing address:
  • Phone: 617-414-8336
  • Fax: 617-414-1975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: