MEDICARE: HEATHER CORAZZINI PSYD LLC

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1568390516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEATHER CORAZZINI PSYD LLC

Provider Business Mailing Address
First Line	:	99 WASHINGTON ST UNIT 204
Second Line	:
City	:	MELROSE
State	:	MA
Zip	:	02176-6028
Country	:	US
Telephone Number	:	781-790-3743
Fax Number	:

Provider Business Practice Location Address
First Line	:	99 WASHINGTON ST UNIT 204
Second Line	:
City	:	MELROSE
State	:	MA
Zip	:	02176-6028
Country	:	US
Telephone Number	:	781-790-3743
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HEATHER CORAZZINI
Credential	:	PSYD
Telephone Number	:	781-790-3743

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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