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NPI Code Detail

MEDICARE: DR. MARGARET MELANIPHY PSY.D.

MEDICARE: DR. MARGARET MELANIPHY PSY.D.
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
1103TC0700XClinical Psychologist071008465IL

General Provider Information

NPI Number : 1104160068
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARGARET MELANIPHY PSY.D.
Provider Business Mailing Address
First Line : 445 E NORTH WATER ST APT 2202
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5552
Country : US
Telephone Number : 312-919-4404
Fax Number :
Provider Business Practice Location Address
First Line : 445 E NORTH WATER ST APT 2202
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5552
Country : US
Telephone Number : 312-919-4404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2012
Last Update Date : 12/09/2022

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