Individual
DR. MELISSA RIDEOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
100 MORRISSEY BLVD, UMASS BOSTON UNIVERSITY HEALTH SERVICES, DORCHESTER, MA 02125-3300
(617) 287-5690
(617) 287-3977
Mailing address
100 MORRISSEY BLVD, UMASS BOSTON UNIVERSITY HEALTH SERVICES, DORCHESTER, MA 02125-3300
(617) 287-5690
(617) 287-3977
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3365
NC
103T00000X
Psychologist
Primary
8970
MA
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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