Individual
MELANIE BLAIR THIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E 17TH ST, NEW YORK, NY 10003-3804
(212) 598-6000
Mailing address
2 NORTHSIDE PIERS, BROOKLYN, NY 11249-3995
(860) 306-1710
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
026036-01
NY
103TR0400X
Rehabilitation Psychologist
Primary
026036
NY
Other
Enumeration date
11/07/2024
Last updated
01/31/2025
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