MEDICARE: TURNING POINT PSYCHOTHERAPY AND ASSESSMENT, LLC

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
1	103TC0700X	Clinical Psychologist	6128	OH

General Provider Information

NPI Number	:	1063782902
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TURNING POINT PSYCHOTHERAPY AND ASSESSMENT, LLC

Provider Business Mailing Address
First Line	:	TURNING POINT PSYCHOTHERAPY AND ASSESSMENT, LLC
Second Line	:	1125 RALSTON AVE.
City	:	DEFIANCE
State	:	OH
Zip	:	43512-1336
Country	:	US
Telephone Number	:	419-782-2800
Fax Number	:	419-782-2805

Provider Business Practice Location Address
First Line	:	TURNING POINT PSYCHOTHERAPY AND ASSESSMENT, LLC
Second Line	:	1125 RALSTON AVE.
City	:	DEFIANCE
State	:	OH
Zip	:	43512-1336
Country	:	US
Telephone Number	:	419-782-2800
Fax Number	:	419-782-2805

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MELISSA R. DAVIES
Credential	:	PSYD
Telephone Number	:	419-782-2800

Provider Enumeration Date	:	01/10/2012
Last Update Date	:	12/19/2019

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