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NPI Code Detail

MEDICARE: TATYANA A MELNIK

MEDICARE: TATYANA A MELNIK
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

General Provider Information

NPI Number : 1588507958
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATYANA A MELNIK
Provider Business Mailing Address
First Line : 757 HIGHLAND AVE APT 100S
Second Line :
City : NEEDHAM
State : MA
Zip : 02494-1647
Country : US
Telephone Number : 617-513-3928
Fax Number : 617-513-3928
Provider Business Practice Location Address
First Line : 1094 WORCESTER RD
Second Line :
City : FRAMINGHAM
State : MA
Zip : 01702-5255
Country : US
Telephone Number : 508-628-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “ TATYANA A MELNIK ” Practice Location

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