Individual
DR. MELODIE KAY MOOREHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.,ABPP
Contact information
Practice address
1201 E BROWARD BLVD, FORT LAUDERDALE, FL 33301-2133
(954) 444-1445
(954) 779-7994
Mailing address
1201 E BROWARD BLVD, FORT LAUDERDALE, FL 33301-2133
(954) 444-1445
(954) 779-7994
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4324
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75811
BC/BS
FL
Enumeration date
05/07/2007
Last updated
07/15/2021
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