| Carissa Melillo Llc | |
|
10 Concord Ave Cambridge MA 02138-2322 | |
| (617) 520-4448 | |
| Not Available |
| Full Name | Carissa Melillo Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 10 Concord Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | Carissa Melillo (THERAPIST) |
| Authorized Official Contact | 7187570369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carissa Melillo Llc 10 Concord Ave Cambridge MA 02138-2322 Ph: () - | Carissa Melillo Llc 10 Concord Ave Cambridge MA 02138-2322 Ph: (617) 520-4448 |
| NPI Number | 1356974224 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 02/19/2020 |
| Certification Date | 02/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356974224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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