Organization
AVELINE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES H MELVIN APRN (OWNER)
(917) 856-7195
Entity
Organization
Contact information
Practice address
2553 WHITNEY AVE, HAMDEN, CT 06518-3021
(917) 856-7195
Mailing address
13 COVENTRY WAY, GUILFORD, CT 06437-1671
(917) 856-7195
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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