Individual provider · Type 1 NPI
Cherie Renee Brisebois-Tetrault, RE LE CLT LLT
Other Specialist/Technologist · South Hadley, MA
NPI number
1437618832
Active
Practice location
460 Granby Rd
South Hadley, MA 01075-2145
Fax (413) 255-0443
Other practice locations
- 460 Granby Rd, South Hadley, MA 01075-2145 · (413) 733-2499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | 1702 (MA) |
| Other Specialist/Technologist | 246Z00000X | L-30 (MA) |
| Other Specialist/Technologist | 246Z00000X | 547 (CT) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
2 other providers at this address
About NPI 1437618832
Cherie Renee Brisebois-Tetrault, RE LE CLT LLT's National Provider Identifier is 1437618832, issued on Mar 15, 2019. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in South Hadley, MA. The record was last updated on Aug 10, 2026.