Healthcare Provider Details

I. General information

NPI: 1700530615
Provider Name (Legal Business Name): MELISSA NAUMAN COUNSELING AND PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 02/09/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6B HINGHAM ST
CAMBRIDGE MA
02138-6112
US

IV. Provider business mailing address

6B HINGHAM ST
CAMBRIDGE MA
02138-6112
US

V. Phone/Fax

Practice location:
  • Phone: 617-213-0728
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELISSA NAUMAN
Title or Position: PSYCHOTHERAPIST
Credential: LICSW
Phone: 617-213-0728