Individual
DR. NICOLINA MARIE FEDELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
36 STONEBRIDGE RD, WAYLAND, MA 01778-3023
(508) 655-4517
(508) 655-4517
Mailing address
36 STONEBRIDGE RD, WAYLAND, MA 01778-3023
(508) 655-4517
(508) 655-4517
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3522
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
644665
HPHC
MA
01
—
718017
TUFTS
MA
01
—
W03457
BCBS
MA
Enumeration date
04/12/2006
Last updated
10/21/2011
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