Individual
DR. JACOB I MELAMED
Active
Individual
DR. JACOB I MELAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
02536
MD
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/31/2007
Last updated
07/07/2010
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