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NPI Code Detail

MEDICARE: DR. MELANIE S. WEITZENFELD PH.D.

MEDICARE: DR. MELANIE S. WEITZENFELD PH.D.
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
1103T00000XPsychologist3106CO

General Provider Information

NPI Number : 1598754681
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELANIE S. WEITZENFELD PH.D.
Provider Business Mailing Address
First Line : 7400 E ORCHARD RD
Second Line : SUITE 240 SOUTH
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-2528
Country : US
Telephone Number : 303-596-0454
Fax Number : 888-299-1224
Provider Business Practice Location Address
First Line : 7400 E ORCHARD RD
Second Line : SUITE 240 SOUTH
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-2528
Country : US
Telephone Number : 303-596-0454
Fax Number : 888-299-1224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 08/16/2012

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