Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 8463 | MA |
N | 103TA0700X | Adult Development & Aging Psychologist | 8463 | MA |
Y | 103G00000X | Clinical Psychologist | 8463 | MA |
Y | 103TC0700X | Clinical Psychologist | 8463 | MA |
N | 103TR0400X | Rehabilitation Psychologist | 8463 | MA |
NPI | 1114979721 |
---|---|
Provider Name | Dr. Melinda S Salomon |
First Address | Bolton, MA 01740-1245 |
Second Address | Cambridge, MA 02138 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 09/02/2011 |