Individual
DR. MICHAEL NEESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
639 GRANITE ST, SUITE LL15, BRAINTREE, MA 02184
(781) 390-3922
(781) 390-3922
Mailing address
189 WARREN AVE, #2, BOSTON, MA 02116
(617) 529-7629
(781) 390-3922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8553
MA
Other
Enumeration date
05/28/2006
Last updated
07/08/2007
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