Individual
DR. MELANIE ANN ST BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
308 S MAUMEE ST, TECUMSEH, MI 49286-2033
(517) 423-6889
(517) 423-6890
Mailing address
308 S MAUMEE ST, TECUMSEH, MI 49286-2033
(517) 423-6889
(517) 423-6890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008533
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680D645180
BCBS
MI
Enumeration date
11/08/2005
Last updated
01/06/2023
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