Individual
CHARLOTTE R MELCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
704 SPRING MEADOWS DR, SUITE A, LEXINGTON, KY 40504-3624
(859) 277-0667
(859) 223-0421
Mailing address
4748 SCENICVIEW RD, LEXINGTON, KY 40514-1441
(859) 223-1141
(859) 223-0421
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
KY-0740
KY
103TH0100X
Health Service Psychologist
Primary
KY-0740
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000068811
ANTHEM PROVIDER NUMBER
KY
Enumeration date
01/10/2007
Last updated
03/17/2008
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