Nicole Alessio, M.ED, ED.S
Individual provider Active NPI School Psychologist · South Boston, MA
NPI 1912250010 · NPPES record last updated Oct 26, 2012
Key facts
- NPI
- 1912250010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 1458782 (MA)
- Practice address
- 4 O St
Apt 1
South Boston, MA 02127-2448 - Phone
- (781) 698-9914
- NPI assigned
- Oct 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1458782 | MA | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1458782 | MA | Yes |
Addresses
Primary practice location
4 O St
Apt 1
South Boston, MA 02127-2448
Mailing address
4 O St
Apt 1
South Boston, MA 02127-2448
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All providers in South Boston, MA · School Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2012. 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.