Individual
JACQUELINE MELLISSA VORPAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
258 MAIN ST, SUITE 3, MEDFIELD, MA 02052-2041
(508) 242-9666
(815) 572-8941
Mailing address
258 MAIN ST, SUITE 3, MEDFIELD, MA 02052-2041
(508) 242-9666
(815) 572-8941
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
7426
MA
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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