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NPI Code Detail

MEDICARE: DR. MELANIE HARRIS FISH PH.D.

MEDICARE:  DR. MELANIE HARRIS FISH  PH.D.
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
1103TC1900XCounseling PsychologistPSY002913GA
2103TC1900XCounseling PsychologistPSY.1685SC

General Provider Information

NPI Number : 1457482994
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELANIE HARRIS FISH PH.D.
Provider Business Mailing Address
First Line : 193 WADING BIRD LOOP
Second Line :
City : BLYTHEWOOD
State : SC
Zip : 29016-5909
Country : US
Telephone Number : 704-490-5752
Fax Number :
Provider Business Practice Location Address
First Line : 115 ATRIUM WAY STE 221
Second Line :
City : COLUMBIA
State : SC
Zip : 29223-6383
Country : US
Telephone Number : 843-501-1099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 05/23/2023

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Directions to “ DR. MELANIE HARRIS FISH PH.D.” Practice Location

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