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NPI Code Detail

MEDICARE: MELANIE L MCARDLE PSY.D.

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
1103T00000XPsychologistPSY5000299MA
2103G00000XClinical Neuropsychologist

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 : 1500 BOSTON PROVIDENCE TPKE STE 22B
Second Line :
City : NORWOOD
State : MA
Zip : 02062-4649
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 : 04/27/2026

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