Provider Demographics
NPI:1164149274
Name:PICHARDO, NEYSIAURIS YAGELIS
Entity Type:Individual
Prefix:
First Name:NEYSIAURIS
Middle Name:YAGELIS
Last Name:PICHARDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 ASHLAND ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-1601
Mailing Address - Country:US
Mailing Address - Phone:978-482-6136
Mailing Address - Fax:
Practice Address - Street 1:110 HAVERHILL RD STE 403
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2123
Practice Address - Country:US
Practice Address - Phone:978-545-4004
Practice Address - Fax:978-545-1001
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health