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General NPI Number Information
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NPI Number | 1861821035
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Entity Type | Individual
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Provider Name | MELISSA KAY JOHNSON PHD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | UNIVERSITY DRIVE C
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City | PITTSBURGH
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State | PA
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Zip | 15240
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Country | US
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Telephone | 412-360-6269
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Fax |
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Provider Business Mailing Address
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Address Line | 120 2ND STREET N/A
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City | ASPINWALL
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State | PA
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Zip | 15215-1802
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Country | US
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Telephone | 410-446-5450
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS017470
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License Number State | PA
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