Individual
MRS. AMY MARIE MELICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
17220 127TH PLACE NE, #300, WOODINVILLE, WA 98072
(425) 985-5236
(360) 387-7734
Mailing address
6010 86TH AVENUE SE, MERCER ISLAND, WA 98040
(206) 275-4572
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LH00003531
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A2427
BCBS
WA
Enumeration date
12/15/2006
Last updated
07/08/2007
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