Individual
MELANIE F PODSIADLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
100 STONE MANOR DR, NEW MARLBOROUGH, MA 01230-9744
(413) 229-3333
(855) 701-1083
Mailing address
100 STONE MANOR DR, NEW MARLBOROUGH, MA 01230-9744
(413) 229-3333
(855) 701-1083
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
017171
NY
103TC0700X
Clinical Psychologist
Primary
11247
MA
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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