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NPI Code Detail

MEDICARE: MRS. MELISSA MCFADDIN LMFT

MEDICARE:  MRS. MELISSA  MCFADDIN  LMFT
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 TherapistKY0651KY

General Provider Information

NPI Number : 1568678738
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA MCFADDIN LMFT
Provider Business Mailing Address
First Line : 306 REYNOLDS DR
Second Line :
City : RICHMOND
State : KY
Zip : 40475-6805
Country : US
Telephone Number : 859-625-0579
Fax Number :
Provider Business Practice Location Address
First Line : 306 REYNOLDS DR
Second Line :
City : RICHMOND
State : KY
Zip : 40475-6805
Country : US
Telephone Number : 859-582-5937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. MELISSA MCFADDIN LMFT” Practice Location

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