Doctor Name: | MS. MICHELLE BARBARA CALIENTO |
NPI Number: | 1396801684 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | |
Business Practice Address: | 185 West Ave Suite 102 & 104 Ludlow, MA - 010561700 |
Business Phone Number: | 4135836750 |
Business Fax Number: | 4135897001 |
Mailing Address: | 30 Holland Dr, E LONGMEADOW |
State: | MA |
Postal Code: | 010281419 |
Phone Number: | 4135255702 |
Fax Number: | 4135897001 |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 04/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |