Individual
JAMES A. MELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.P.
Contact information
Practice address
10122 POWERS LAKE TRL, WOODBURY, MN 55129-8589
(612) 625-4073
Mailing address
10122 POWERS LAKE TRL, WOODBURY, MN 55129-8589
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP1978
MN
103TC0700X
Clinical Psychologist
Primary
LP1978
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25880ME
BLUE CROSS BLUE SHIELD MN
MN
01
—
61-94310
MEDICA
MN
Enumeration date
03/07/2006
Last updated
09/11/2025
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