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Individual

DR. MELANIE MAY LONGWORTH-BEATTIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
116 MARKET ST, MOUNT CLEMENS, MI 48043-5674
(586) 465-4444
(586) 783-2761
Mailing address
116 MARKET ST, MOUNT CLEMENS, MI 48043-5674
(586) 465-4444
(586) 783-2761

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012761
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P108973050
BCBS INDIVIDUAL NUMBER
MI
Enumeration date
06/20/2006
Last updated
04/05/2023
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