Individual
MELVIN JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12909 N 56TH ST, SUITE 202, TEMPLE TERRACE, FL 33617-1275
(813) 980-6641
Mailing address
PO BOX 291542, TAMPA, FL 33687-1542
(813) 980-6641
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 1128
FL
Other
Enumeration date
02/18/2012
Last updated
02/18/2012
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