# DR. MELANIE YARD GREGG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417090010
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 34333 | TX | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 047F7 | BCBS | NC |
| 05 | — | 6000984 | — | NC |