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Organization
DR. MELITA PSYCHOLOGICAL SERVICES, PLLC
Active
Organization
DR. MELITA PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELITA THAIS PSYCHOLOGICAL L,PSYCH PHD (CLINICAL PSYCHOLOGIST)
(803) 467-9628
Entity
Organization
Contact information
Practice address
515 MADISON AVE FL 21, NEW YORK, NY 10022-5433
(917) 336-1673
Mailing address
555 MADISON AVE FL 5, NEW YORK, NY 10022-3410
(917) 336-1673
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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