Melody Kay Lorenzo, is a
Psychologist - Addiction (substance Use Disorder) based in Kelso, Washington. Melody Kay Lorenzo is licensed to practice in Washington (license number CP00001048) and her current practice location is
404 W Main St, Kelso, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 423-2806.
NPI number for Melody Kay Lorenzo is 1073083580 and her current mailing address is 404 W Main St, Kelso, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073083580.
Healthcare Provider's Profile
| Full Name | Melody Kay Lorenzo |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
|---|
| Location | 404 W Main St, Kelso, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073083580
- Provider Enumeration Date: 11/27/2018
- Last Update Date: 11/27/2018
Medical Identifiers
Medical identifiers for Melody Kay Lorenzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073083580 | NPI | - | NPPES |
| 1801018528 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | CP00001048 (Washington) | 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. Melody Kay Lorenzo 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 |
|---|
Melody Kay Lorenzo,
404 W Main St,
Kelso, WA 98626-1118
Ph: (360) 423-2806 | Melody Kay Lorenzo,
404 W Main St,
Kelso, WA 98626-1118
Ph: (360) 423-2806 |
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