Provider Demographics
NPI:1346433026
Name:SARDELLA, MICHELLE P (MS, CGC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:P
Last Name:SARDELLA
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 COMPUTER DR
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1771
Mailing Address - Country:US
Mailing Address - Phone:508-389-6682
Mailing Address - Fax:508-389-5549
Practice Address - Street 1:3400 COMPUTER DR
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1771
Practice Address - Country:US
Practice Address - Phone:508-389-6682
Practice Address - Fax:508-389-5549
Is Sole Proprietor?:No
Enumeration Date:2007-08-25
Last Update Date:2007-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS