Individual
ROBIN MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 HAYDEN AVE, TIVERTON, RI 02878-2122
(401) 585-8304
Mailing address
124 HAYDEN AVE, TIVERTON, RI 02878-2122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
06/26/2012
Last updated
06/26/2012
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