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NPI Code Detail

MEDICARE: MELINDA JUNE MEYERS LPC, ATR

MEDICARE: MELINDA JUNE MEYERS LPC, ATR
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
1101YM0800XMental Health CounselorVA

General Provider Information

NPI Number : 1477180065
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA JUNE MEYERS LPC, ATR
Provider Business Mailing Address
First Line : 2200 COLONIAL AVE STE 12
Second Line :
City : NORFOLK
State : VA
Zip : 23517-1919
Country : US
Telephone Number : 757-937-5780
Fax Number :
Provider Business Practice Location Address
First Line : 2200 COLONIAL AVE STE 12
Second Line :
City : NORFOLK
State : VA
Zip : 23517-1919
Country : US
Telephone Number : 757-937-5780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 05/18/2021

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