Provider Demographics
NPI:1881088359
Name:CALABRESE, VANESSA (PHD)
Entity type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:
Last Name:CALABRESE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:VANESSA
Other - Middle Name:CALABRESE
Other - Last Name:SLOAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:95 WASHINGTON ST STE 104-249
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-4006
Mailing Address - Country:US
Mailing Address - Phone:617-304-4316
Mailing Address - Fax:
Practice Address - Street 1:95 WASHINGTON ST STE 104-249
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-4006
Practice Address - Country:US
Practice Address - Phone:617-304-4316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-23
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9732103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical