MEDICARE: MELANIE JULI MS

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	106H00000X	Marriage & Family Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285184671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE JULI MS

Provider Business Mailing Address
First Line	:	9833 PORTA LEONA LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-2775
Country	:	US
Telephone Number	:	954-673-2083
Fax Number	:

Provider Business Practice Location Address
First Line	:	9833 PORTA LEONA LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-2775
Country	:	US
Telephone Number	:	954-673-2083
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2016
Last Update Date	:	10/10/2016

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