Individual
DR. MELINDA J SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
5123 W ST JOE HWY, SUITE 103, LANSING, MI 48917-4093
(517) 323-4099
(513) 323-3334
Mailing address
5123 W ST JOE HWY, SUITE 103, LANSING, MI 48917-4093
(517) 323-4099
(513) 323-3334
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009976
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680B345180
BCBS
MI
Enumeration date
07/28/2006
Last updated
01/09/2013
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