Individual
DR. MELISSA CORPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
303 5TH AVE RM 1707, NEW YORK, NY 10016-6641
(929) 270-7955
Mailing address
303 5TH AVE RM 1707, NEW YORK, NY 10016-6641
(929) 270-7955
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020317-1
NY
Other
Enumeration date
11/05/2013
Last updated
10/01/2018
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