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NPI Code Detail

MEDICARE: MELISSA PAUL LCSW

MEDICARE: MELISSA PAUL LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerTX

General Provider Information

NPI Number : 1063055747
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA PAUL LCSW
Provider Business Mailing Address
First Line : 5350 TOMAH DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-6904
Country : US
Telephone Number : 832-987-8656
Fax Number :
Provider Business Practice Location Address
First Line : 3050 POST OAK BLVD STE 510
Second Line :
City : HOUSTON
State : TX
Zip : 77056-6512
Country : US
Telephone Number : 888-866-8987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2019
Last Update Date : 02/01/2023

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