Provider Demographics
NPI:1447466248
Name:RAPALA, MICHELE MERLO (PHD)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:MERLO
Last Name:RAPALA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 KIRK FARM RD
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:MA
Mailing Address - Zip Code:01450-1055
Mailing Address - Country:US
Mailing Address - Phone:978-448-2809
Mailing Address - Fax:
Practice Address - Street 1:30 KIRK FARM RD
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:MA
Practice Address - Zip Code:01450-1055
Practice Address - Country:US
Practice Address - Phone:978-448-2809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA234103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool