Individual
MELINDA LANDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10519 VAUGHN RD, PIKE ROAD, AL 36064-2700
(334) 603-1427
Mailing address
10519 VAUGHN RD, PIKE ROAD, AL 36064-2700
(334) 603-1427
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3703
AL
101Y00000X
Counselor
C2642A
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
814527338
—
AL
Enumeration date
11/30/2016
Last updated
03/02/2023
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