Individual
DR. REBECCA J EDDY MUCCILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
340 TURNPIKE ST, 1-3A, CANTON, MA 02021-2700
(781) 619-1500
Mailing address
340 TURNPIKE ST STE 1-3A, CANTON, MA 02021-2700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9462
MA
Other
Enumeration date
07/10/2008
Last updated
03/28/2012
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