Individual
MELINDA KAY HENLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
200 KANAWHA TER, SUITE 103, SAINT ALBANS, WV 25177-2867
(304) 727-1302
Mailing address
886 LYNN BROOKE PL, CHARLESTON, WV 25312-6412
(304) 744-8183
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1106
WV
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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