Individual
MELISSA D OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
313 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25303-1205
(304) 525-7851
(304) 525-1073
Mailing address
99 CRACKER BARREL DR STE 100, BARBOURSVILLE, WV 25504-1650
(304) 525-7851
(304) 525-1073
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1168
WV
Other
Enumeration date
01/12/2018
Last updated
10/02/2024
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