Healthcare Provider Details
I. General information
NPI: 1427212422
Provider Name (Legal Business Name): MELINA SPYRIDAKI-DODD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/18/2008
Last Update Date: 10/22/2020
Certification Date: 10/22/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2570 HAYMAKER RD
MONROEVILLE PA
15146-3513
US
IV. Provider business mailing address
2570 HAYMAKER RD
MONROEVILLE PA
15146-3513
US
V. Phone/Fax
- Phone: 412-858-2000
- Fax:
- Phone: 412-858-2000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | MD434998 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 01068651A |
| License Number State | IN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | 01068651A |
| License Number State | IN |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | MD434998 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: