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NPI Code Detail

MEDICARE: MS. MELINDA MANCINI LMHC

MEDICARE: MS. MELINDA MANCINI LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor4060MA

General Provider Information

NPI Number : 1811018716
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELINDA MANCINI LMHC
Provider Business Mailing Address
First Line : 48 EATON STREET
Second Line :
City : CONCORD
State : MA
Zip : 01742-5744
Country : US
Telephone Number : 978-369-9938
Fax Number :
Provider Business Practice Location Address
First Line : 2557 MASSACHUSETTS AVE
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02140-1020
Country : US
Telephone Number : 978-369-9938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 07/08/2007

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