NPI 1780314211
Boreal Psychiatry Plc
Practice location
- Address
- 4185 St George Rd, Williston, VT 05495-7695
- Phone
- (802) 636-4545
Authorised official
- Name
- Kyle Monahan
- Title
- Owner
- Phone
- (802) 636-4545
Registered specialties
Psychiatry Physician
Primary
Registry record
- NPI
- 1780314211
- Entity type
- Organization
- NPI issued
- 16 Jun 2022
- Record last updated
- 16 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.