Individual
MRS. MELISSA ANN CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6208 CROOKED CREEK DRIVE, MASON, OH 45040
(937) 901-6267
(866) 481-8354
Mailing address
6208 CROOKED CREEK DR, MASON, OH 45040-2444
(937) 901-6267
(866) 481-8354
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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