Individual
KELSEY MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9 HOPE AVE, WALTHAM, MA 02453-2741
(617) 355-6680
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
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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