Provider Demographics
NPI:1619207560
Name:AUCLAIR, MELISSA A (MED)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:A
Last Name:AUCLAIR
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MISS
Other - First Name:MELISSA
Other - Middle Name:A
Other - Last Name:MULLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 NEKICK RD
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-4826
Mailing Address - Country:US
Mailing Address - Phone:401-398-7076
Mailing Address - Fax:
Practice Address - Street 1:67 MECHANIC ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2036
Practice Address - Country:US
Practice Address - Phone:508-223-3397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical