Theresa M Melnychenko, MA, LP is a
Marriage & Family Therapist based in Northfield, Minnesota. Theresa M Melnychenko is licensed to practice in Minnesota (license number 117) and her current practice location is
680 Professional Dr, Northfield, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 663-0237.
NPI number for Theresa M Melnychenko is 1013970888 and her current mailing address is Po Box 43, Mr 10809, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013970888.
Healthcare Provider's Profile
| Full Name | Theresa M Melnychenko |
|---|
| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 680 Professional Dr, Northfield, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013970888
- Provider Enumeration Date: 04/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Theresa M Melnychenko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013970888 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | LP0950 (Minnesota) | Primary |
| 1041C0700X | Social Worker - Clinical | 7804 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | 117 (Minnesota) | 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. Theresa M Melnychenko 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 |
|---|
Theresa M Melnychenko, MA, LP
Po Box 43, Mr 10809,
Minneapolis, MN 55440-0043
Ph: (612) 262-4813 | Theresa M Melnychenko, MA, LP
680 Professional Dr,
Northfield, MN 55057-2755
Ph: (507) 663-0237 |
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