Individual
STEVEN R MICHELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
289 GREAT RD, # G01, ACTON, MA 01720-4766
(978) 772-4457
(978) 264-4851
Mailing address
PO BOX 904, ACTON, MA 01720-0904
(978) 772-4457
(978) 264-4851
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2011
MA
Other
Enumeration date
09/20/2006
Last updated
05/03/2019
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