| Katherine A Melchior Phd Llc | |
|
19855 Outer Dr Dearborn MI 48124-2022 | |
| (734) 589-3048 | |
| Not Available |
| Full Name | Katherine A Melchior Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 19855 Outer Dr, Dearborn, Michigan |
| Authorized Official Name and Position | Katherine Alison Melchior (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7345893048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine A Melchior Phd Llc 2241 Mumford Rd Pinckney MI 48169-9309 Ph: (734) 589-3048 | Katherine A Melchior Phd Llc 19855 Outer Dr Dearborn MI 48124-2022 Ph: (734) 589-3048 |
| NPI Number | 1316458649 |
|---|---|
| Provider Enumeration Date | 10/13/2017 |
| Last Update Date | 11/07/2019 |
| Medicare PECOS PAC ID | 4880021757 |
|---|---|
| Medicare Enrollment ID | O20200305002594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316458649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301014731 (Michigan) | Primary |
| Provider Name | Katherine Alison Melchior |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528482155 PECOS PAC ID: 6406087659 Enrollment ID: I20140401001284 |
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