Provider Demographics
NPI:1083315261
Name:PRASSAS, DESPINA DENISE (PHD, BSN, MSN)
Entity Type:Individual
Prefix:DR
First Name:DESPINA
Middle Name:DENISE
Last Name:PRASSAS
Suffix:
Gender:F
Credentials:PHD, BSN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CHAPEL ST APT B803
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-7482
Mailing Address - Country:US
Mailing Address - Phone:401-346-4497
Mailing Address - Fax:
Practice Address - Street 1:20 CHAPEL ST APT B803
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-7482
Practice Address - Country:US
Practice Address - Phone:401-346-4497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA194164363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health