Most Relevant Information
Provider Data
| NPI Number: | 1003402934 |
| Provider Name: | MELANIE F PODSIADLO PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 017171 |
Most Important Dates
| Enumeration Date: | 12/15/2020 |
| Last Updated: | 12/15/2020 |
Provider Practice Location
100 STONE MANOR DR
NEW MARLBOROUGH
MA
012309744
Practice Location Phone/Fax
| Phone: | 4132293333 |
| Fax: | 8557011083 |
Provider Mailing Location
100 STONE MANOR DR
NEW MARLBOROUGH
MA
012309744
Provider Mailing Phone/Fax
| Phone: | 4132293333 |
| Fax: | 8557011083 |