Individual
MELISSA M. MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
593 EDDY ST, POTTER 2, PROVIDENCE, RI 02903-4923
(401) 444-2128
(401) 444-8836
Mailing address
593 EDDY ST, APC 978, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-7865
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT00114
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFT00114
PROFESSIONAL LICENSE
RI
Enumeration date
10/01/2008
Last updated
01/30/2012
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