Individual
MR. MICHAEL I VICKERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
40 SPEEN ST, SUITE 106, FRAMINGHAM, MA 01701-1898
(508) 877-3660
(508) 872-6330
Mailing address
40 SPEEN ST, SUITE 106, FRAMINGHAM, MA 01701-1898
(508) 877-3660
(508) 872-6330
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1477
MA
Other
Enumeration date
12/05/2005
Last updated
07/08/2007
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