Individual
MELODY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1783 HECKSCHER AVE, BAY SHORE, NY 11706-1524
(347) 707-3532
Mailing address
1783 HECKSCHER AVE, BAY SHORE, NY 11706-1524
(347) 707-3532
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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