Dr Melody Ann Fortenberry, PHD is a
Marriage & Family Therapist based in Dallas, Texas. Dr Melody Ann Fortenberry is licensed to practice in Texas (license number 570) and her current practice location is
5757 Alpha Rd, Suite 209, Dallas, Texas. She can be reached at her office (for appointments etc.) via phone at
(972) 458-9890.
NPI number for Dr Melody Ann Fortenberry is 1356417877 and her current mailing address is 5757 Alpha Rd, Suite 209, Dallas, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356417877.
Healthcare Provider's Profile
| Full Name | Dr Melody Ann Fortenberry |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 5757 Alpha Rd, Dallas, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356417877
- Provider Enumeration Date: 11/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Melody Ann Fortenberry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356417877 | NPI | - | NPPES |
| 00D39R | Other | TX | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 22645 (Texas) | Primary |
| 103TC0700X | Psychologist - Clinical | 22645 (Texas) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 22645 (Texas) | Primary |
| 103TF0000X | Psychologist - Family | 22645 (Texas) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | 22645 (Texas) | Primary |
| 106H00000X | Marriage & Family Therapist | 570 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Melody Ann Fortenberry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Melody Ann Fortenberry, PHD
5757 Alpha Rd, Suite 209,
Dallas, TX 75240-4601
Ph: (972) 458-9890 | Dr Melody Ann Fortenberry, PHD
5757 Alpha Rd, Suite 209,
Dallas, TX 75240-4601
Ph: (972) 458-9890 |
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