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Individual

ALEXANDER MELKONIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
208 MEDICAL PARK BLVD, BRISTOL, TN 37620-7343
(540) 272-9242
Mailing address
708 W MAPLE ST, JOHNSON CITY, TN 37604-6508
(540) 272-9242

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3841
TN
103TC0700X
Clinical Psychologist
3841
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q069365
TN
Enumeration date
09/27/2021
Last updated
02/06/2026
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