Individual
DR. MELINDA ANN KOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
32828 REBA RD STE A, MILLVILLE, DE 19967-6909
(302) 567-1695
(302) 616-3934
Mailing address
33316 HEAVENLY WAY STE 203, OCEAN VIEW, DE 19970-3473
(302) 567-1695
(302) 616-3934
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY636
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0217719
HMSA QUEST
HI
01
—
113678753
TRICARE
HI
01
—
217075
HMA
HI
05
—
50138903
—
HI
01
—
A217719
HMSA
HI
01
—
PSY636
QUEENS MEDICAL
HI
Enumeration date
11/22/2005
Last updated
05/08/2019
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