Healthcare Provider Details

I. General information

NPI: 1891178646
Provider Name (Legal Business Name): MELANIE HO PSY.D., LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2015
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44450 PINETREE DR SUITE 101
PLYMOUTH MI
48170-3869
US

IV. Provider business mailing address

44450 PINETREE DR SUITE 101
PLYMOUTH MI
48170-3869
US

V. Phone/Fax

Practice location:
  • Phone: 734-738-0897
  • Fax:
Mailing address:
  • Phone: 734-738-0897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301019144
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: