Individual
MELINDA B MALIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DI
Contact information
Practice address
4075 HOUSTON ANTIOCH RD, LEXINGTON, KY 40516-9504
(859) 983-1431
Mailing address
401 LEWIS HARGETT CIR STE 120, LEXINGTON, KY 40503-3564
(859) 983-1431
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
09/17/2019
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