Provider Demographics
NPI:1134093644
Name:DELONG PSYCHIATRIC SERVICES PLLC
Entity type:Organization
Organization Name:DELONG PSYCHIATRIC SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:RL
Authorized Official - Last Name:DELONG
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:608-509-2760
Mailing Address - Street 1:45 VERNON RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-1012
Mailing Address - Country:US
Mailing Address - Phone:617-826-9720
Mailing Address - Fax:
Practice Address - Street 1:45 VERNON RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-1012
Practice Address - Country:US
Practice Address - Phone:617-826-9720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty