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NPI Code Detail

MEDICARE: MELISSA M UMALI PSY D HSPP

MEDICARE: MELISSA M UMALI PSY D HSPP
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
1103TA0700XAdult Development & Aging Psychologist20041756AIN

General Provider Information

NPI Number : 1598742728
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA M UMALI PSY D HSPP
Provider Business Mailing Address
First Line : 1808 SHERMAN DR
Second Line :
City : PRINCETON
State : IN
Zip : 47670-1043
Country : US
Telephone Number : 812-385-9264
Fax Number : 812-385-9430
Provider Business Practice Location Address
First Line : 1808 SHERMAN DR
Second Line :
City : PRINCETON
State : IN
Zip : 47670-1043
Country : US
Telephone Number : 812-385-9264
Fax Number : 812-385-9430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 07/08/2007

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