Kulish, Melinda Eileen
Kulish, Melinda Eileen is an sole proprietor health care provider with primary practice located at 1679 Massachusetts Ave , Cambridge MA 02138-1877. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kulish, Melinda Eileen can be contacted via phone (617) 492-2841.Contact Information
Primary practice address
1679 Massachusetts Ave
Cambridge MA 02138-1877
Phone: (617) 492-2841
Fax: (617) 492-1079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 7822 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7822 | Massachusetts |
Profile Details
| NPI number | 1073681425 |
|---|---|
| LBN Legal business name | Kulish, Melinda Eileen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2006 |
| Last updated | Dec 19th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073681425 | NPPES |
| Massachusetts | Other | W06157 | BCBS OF MA INDEMNITY |
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