Individual
MELISSA LEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5116 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7871
(410) 855-5337
Mailing address
5116 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7871
(410) 855-5337
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05679
MD
Other
Enumeration date
10/26/2016
Last updated
01/04/2017
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