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NPI Code Detail

MEDICARE: MELISSA ANNE DEMPSEY M.S.

MEDICARE: MELISSA ANNE DEMPSEY M.S.
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1770555005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANNE DEMPSEY M.S.
Provider Business Mailing Address
First Line : 11143 PARKVIEW PLAZA DR STE 216
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1728
Country : US
Telephone Number : 260-266-9225
Fax Number : 260-266-9169
Provider Business Practice Location Address
First Line : 11143 PARKVIEW PLAZA DR STE 216
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1728
Country : US
Telephone Number : 260-266-9225
Fax Number : 260-266-9169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 05/08/2012

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Directions to “ MELISSA ANNE DEMPSEY M.S.” Practice Location

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