Melissa Hudson
Individual provider Active NPI Counselor · Malden, MA
NPI 1659823367 · NPPES record last updated Oct 28, 2016
Key facts
- NPI
- 1659823367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 730 Eastern Ave
Malden, MA 02148-5906 - Phone
- (781) 820-0765
- NPI assigned
- Oct 28, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MA | Yes |
Addresses
Primary practice location
730 Eastern Ave
Malden, MA 02148-5906
Mailing address
730 Eastern Ave
Malden, MA 02148-5906
Phone (781) 820-0765
Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.