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NPI Code Detail

MEDICARE: MELISSA D WILLIAMS MFT

MEDICARE:   MELISSA D WILLIAMS  MFT
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 Therapist

General Provider Information

NPI Number : 1174862940
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA D WILLIAMS MFT
Provider Business Mailing Address
First Line : 3316 SE 16TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-4401
Country : US
Telephone Number : 239-233-4040
Fax Number :
Provider Business Practice Location Address
First Line : 3316 SE 16TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-4401
Country : US
Telephone Number : 239-233-4040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2013
Last Update Date : 02/13/2013

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Directions to “ MELISSA D WILLIAMS MFT” Practice Location

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