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Individual

DR. MELISSA ANN BULLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
697 HANNAH AVE STE D, TRAVERSE CITY, MI 49686-3399
(231) 392-3611
(844) 213-1595
Mailing address
697 HANNAH AVE STE D, TRAVERSE CITY, MI 49686-3399
(231) 392-3611
(844) 213-1595

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012645
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
680B812170
BCBSM
MI
Enumeration date
02/16/2007
Last updated
11/21/2018
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