Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 10910 | MA |
NPI | 1114496031 |
---|---|
Provider Name | Dr. Melanie Cadet |
First Address | Quincy, MA 02169-6109 |
Second Address | Quincy, MA 02171-2442 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2018 |
Last Update Date | 20/11/2018 |