Provider Information for 1497047229
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MELISSA HUMMELT LMHC
Sex: Female
NPI: 1497047229
Last Updated: 2016-12-07
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1497047229 | ||||||||||||
| Enumeration Date | 2011-05-12 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 66 CANAL ST BOSTON, MA 02114-2002 United States Phone: 617-619-5940 | Fax: | ||||||||||||
| Primary Practice Address | 66 CANAL ST BOSTON, MA 02114-2002 United States Phone: 617-619-5940 | Fax: | ||||||||||||
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