Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 7524 | MA |
NPI | 1073004115 |
---|---|
Provider Name | Dr. Melinda Karen Stoops |
First Address | Framingham, MA 01701-3015 |
Second Address | Framingham, MA 01701-3015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2018 |
Last Update Date | 24/05/2018 |