Individual
JAMES KENNETH LUISELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD ABPP BCBA
Contact information
Practice address
41 PACELLA PARK DRIVE, MAY INSTITUTE, RANDOLPH, MA 02368
(781) 437-1205
(781) 440-0401
Mailing address
41 PACELLA PARK DRIVE, MAY INSTITUTE, RANDOLPH, MA 02368
(781) 437-1205
(781) 440-0401
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3220
MA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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