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Organization

MELINDA K. HENLINE, MA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELINDA KAY HENLINE M.A. (OWNER)
(304) 727-1302
Entity
Organization

Contact information

Practice address
200 KANAWHA TERRRACE, SUITE 103, ST. ALBANS, WV 25177
(304) 727-1302
Mailing address
200 KANAWHA TER, SUITE 103, SAINT ALBANS, WV 25177-2867
(304) 727-1302

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1106
WV

Other

Enumeration date
12/09/2015
Last updated
12/09/2015
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