Individual
DR. MICHAEL J CASSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
747 MAIN ST, SUITE 319, CONCORD, MA 01742-3302
(978) 393-1925
Mailing address
747 MAIN ST, SUITE 319, CONCORD, MA 01742-3302
(978) 393-1925
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
9751
MA
103TB0200X
Cognitive & Behavioral Psychologist
9751
MA
103TC0700X
Clinical Psychologist
Primary
9751
MA
103TP2701X
Group Psychotherapy Psychologist
9751
MA
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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