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NPI Code Detail

MEDICARE: JULIE MARIE MELEKIAN LMFT

MEDICARE: JULIE MARIE MELEKIAN LMFT
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
1106H00000XMarriage & Family Therapist97012CA

General Provider Information

NPI Number : 1053814319
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE MARIE MELEKIAN LMFT
Provider Business Mailing Address
First Line : 1828 COTTAGE GROVE DR
Second Line :
City : ENCINITAS
State : CA
Zip : 92024-3011
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4510 EXECUTIVE DR STE 315
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-3029
Country : US
Telephone Number : 858-534-8053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2018
Last Update Date : 03/13/2018

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Directions to “ JULIE MARIE MELEKIAN LMFT” Practice Location

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