Individual
DR. MELINDA EILEEN KULISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1679 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138-1877
(617) 492-2841
(617) 492-1079
Mailing address
7 FAIRVIEW AVE, ARLINGTON, MA 02474-1215
(781) 643-4969
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
7822
MA
103TC0700X
Clinical Psychologist
Primary
7822
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06157
BCBS OF MA INDEMNITY
MA
Enumeration date
12/02/2006
Last updated
12/19/2011
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