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General NPI Number Information
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NPI Number | 1306395751
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Entity Type | Individual
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Provider Name | MELISSA HORNE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/27/2016
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Last Update Date | 09/02/2024
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Provider Practice Location Address
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Address Line | 8170 S HIGHLAND DR STE E5
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City | SANDY
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State | UT
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Zip | 84093-6469
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Country | US
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Telephone | 514-080-1528
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Fax | 801-769-0564
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Provider Business Mailing Address
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Address Line | 8170 S HIGHLAND DR STE E5
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City | SANDY
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State | UT
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Zip | 84093-6469
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Country | US
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Telephone | 514-080-1528
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Fax | 801-769-0564
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY.0004483
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 10162580-2501
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License Number State | UT
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