Organization
INTEGRATED ASSESSMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA EILEEN KULISH PH.D. (PRESIDENT)
(617) 661-1100
Entity
Organization
Contact information
Practice address
1753 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-2231
(617) 661-1100
(617) 661-1101
Mailing address
1753 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-2231
(617) 661-1100
(617) 661-1101
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
7822
MA
103TC0700X
Clinical Psychologist
7822
MA
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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