Search › Massachusetts › 171M00000X
Melissa Wallace, EDM
NPI 1700069424 · on the registry since 2007 · sole proprietor
Practice
- Address
- 105 Victory Rd
Dorchester, MA 02122 - Phone
- (617) 619-6921
- Organisation at this address
- Bay Cove Human Services, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 78
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Female
- Record last updated
- 2007-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts