Individual
KELSEY MERCADO
Active
Individual
KELSEY MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10000137
MA
103TH0100X
Health Service Psychologist
PSY1000137
MA
Other
Enumeration date
12/13/2023
Last updated
01/17/2024
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