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Individual

DR. WILLIAM HARRISON MELLICK III

Active
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Individual

DR. WILLIAM HARRISON MELLICK III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1542
SC
103TB0200X
Cognitive & Behavioral Psychologist
1542
SC
103TC0700X
Clinical Psychologist
Primary
1542
SC
103TC2200X
Clinical Child & Adolescent Psychologist
1542
SC
103TF0000X
Family Psychologist
1542
SC

Other

Enumeration date
08/23/2022
Last updated
09/09/2025
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