MEDICARE: MELANIE L MCARDLE PSY.D.

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
1	103G00000X	Clinical Neuropsychologist
2	103T00000X	Psychologist	PSY5000299	MA

General Provider Information

NPI Number	:	1003586314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE L MCARDLE PSY.D.

Provider Business Mailing Address
First Line	:	35 UNITED DR STE 102
Second Line	:
City	:	WEST BRIDGEWATER
State	:	MA
Zip	:	02379-1056
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 BOSTON PROVIDENCE TPKE STE 8A
Second Line	:
City	:	NORWOOD
State	:	MA
Zip	:	02062-4946
Country	:	US
Telephone Number	:	781-205-9948
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2021
Last Update Date	:	06/10/2025

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