Individual provider · Type 1 NPI

Samuel De Melo

Mental Health Counselor · Needham, MA

NPI number 1114398112 Active

Practice location

237 Highland Ave
Needham, MA 02494-3036

Mailing address

126 Bishop St Apt 2
Framingham, MA 01702-8128

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114398112

Samuel De Melo's National Provider Identifier is 1114398112, issued on Oct 15, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Needham, MA. The record was last updated on Oct 15, 2015.