| Complex Trauma Treatment Center Boston | |
|
630 Main St Melrose MA 02176-3127 | |
| (617) 548-4123 | |
| Not Available |
| Full Name | Complex Trauma Treatment Center Boston |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 630 Main St, Melrose, Massachusetts |
| Authorized Official Name and Position | Joseph F Spinazzola (MANAGING DIRECTOR) |
| Authorized Official Contact | 6178726391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complex Trauma Treatment Center Boston 41 Pitman Ave Wakefield MA 01880-4338 Ph: (617) 872-6391 | Complex Trauma Treatment Center Boston 630 Main St Melrose MA 02176-3127 Ph: (617) 548-4123 |
| NPI Number | 1538845037 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538845037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 103TC0700X | Psychologist - Clinical | () | Primary |
| 1041C0700X | Social Worker - Clinical | () | Secondary |
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