Individual
MELONIE MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
2939 W MISSIONWOOD LN, MIRAMAR, FL 33025-2939
(954) 408-2149
Mailing address
2939 W MISSIONWOOD LN, MIRAMAR, FL 33025-2939
(954) 408-2149
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SS1623
FL
103TB0200X
Cognitive & Behavioral Psychologist
SS1623
FL
103TS0200X
School Psychologist
SS1623
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103T00000X
—
FL
01
—
SS1623
FL DOH - SCHOOL PSYCHOLOGY
FL
Enumeration date
05/04/2022
Last updated
10/01/2025
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