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NPI Code Detail

MEDICARE: MELISSA MCNEELY

MEDICARE:   MELISSA  MCNEELY
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
1101YM0800XMental Health Counselor
2103TB0200XCognitive & Behavioral Psychologist

General Provider Information

NPI Number : 1578982211
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MCNEELY
Provider Business Mailing Address
First Line : 5249 DAWN BREAK CANYON ST
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89031-6627
Country : US
Telephone Number : 702-290-5616
Fax Number : 702-657-9892
Provider Business Practice Location Address
First Line : 5249 DAWN BREAK CANYON ST
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89031-6627
Country : US
Telephone Number : 702-290-5616
Fax Number : 702-657-9892
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2014
Last Update Date : 04/09/2014

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Directions to “ MELISSA MCNEELY ” Practice Location

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