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NPI Code Detail

MEDICARE: MELANIE A MERLICH SOMERVILLE PHD, LPC-S

MEDICARE: MELANIE A MERLICH SOMERVILLE PHD, LPC-S
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1477991826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE A MERLICH SOMERVILLE PHD, LPC-S
Provider Business Mailing Address
First Line : 1616 HAVER ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-2522
Country : US
Telephone Number : 512-593-0583
Fax Number :
Provider Business Practice Location Address
First Line : 900 LOVETT BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77006-3908
Country : US
Telephone Number : 713-589-5991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2013
Last Update Date : 07/12/2024

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