Individual
MELINDA MULLINS FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1705 JEFFERSON STREET, BLUEFIELD, WV 24701
(304) 327-5331
(304) 327-5336
Mailing address
P.O. BOX 902, BLUEFIELD, WV 24701
(304) 327-5331
(304) 327-5336
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
669
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007707185
—
VA
05
—
0164619000
—
WV
Enumeration date
03/23/2006
Last updated
05/30/2014
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