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NPI Code Detail

MEDICARE: JAMES L. MELONEY

MEDICARE: JAMES L. MELONEY
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1578084083
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES L. MELONEY
Provider Business Mailing Address
First Line : 1391 WASHINGTON BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-1801
Country : US
Telephone Number : 412-661-9222
Fax Number : 412-661-9395
Provider Business Practice Location Address
First Line : 1391 WASHINGTON BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-1801
Country : US
Telephone Number : 412-661-9222
Fax Number : 412-661-9395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2017
Last Update Date : 07/21/2022

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