Individual
MRS. ANGELIQUE MELENDEZ-BLANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3720
(239) 596-1661
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3720
(239) 596-1661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
2591
OR
103T00000X
Psychologist
Primary
PY9517
FL
Other
Enumeration date
07/17/2013
Last updated
12/04/2020
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