Baillieul, Charlotte

Baillieul, Charlotte is an individual health care provider with primary practice located at 1125 Centre St , Jamaica Plain MA 02130. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Baillieul, Charlotte can be contacted via phone (617) 645-5249.

Contact Information

Primary practice address
1125 Centre St Jamaica Plain MA 02130
Phone: (617) 645-5249
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 118396 Massachusetts
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN2312255 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2312255 Massachusetts

Profile Details

NPI number 1235436171
LBN Legal business name Baillieul, Charlotte
Credentials CNP, RN, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2011
Last updated Oct 4th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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