Individual
DR. MELANIE MARIE DOMENECH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2810 OLD MAIN HL, DPT. OF PSYCHOLOGY, LOGAN, UT 84322-2810
(435) 797-3059
(435) 797-1448
Mailing address
2810 OLD MAIN HL, DPT. OF PSYCHOLOGY, LOGAN, UT 84322-2810
(435) 797-3059
(435) 797-1448
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4816427-2501
UT
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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