Provider Demographics
NPI:1740326644
Name:SEMEL, MICHAEL ADAM (PHD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ADAM
Last Name:SEMEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 NICHOLS ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-1518
Mailing Address - Country:US
Mailing Address - Phone:781-246-4476
Mailing Address - Fax:
Practice Address - Street 1:77 WARREN ST
Practice Address - Street 2:BUILDING 9
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3601
Practice Address - Country:US
Practice Address - Phone:617-254-0964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent