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NPI Code Detail

MEDICARE: MS. MELISSA HARRELL STANDISH M.S.W.

MEDICARE:  MS. MELISSA HARRELL STANDISH  M.S.W.
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
11041C0700XClinical Social Worker16467TX

General Provider Information

NPI Number : 1871608968
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA HARRELL STANDISH M.S.W.
Provider Business Mailing Address
First Line : 15 GREENWAY PLZ UNIT 3G
Second Line :
City : HOUSTON
State : TX
Zip : 77046-1502
Country : US
Telephone Number : 713-622-5625
Fax Number : 281-547-8865
Provider Business Practice Location Address
First Line : 3400 BISSONNET ST STE 282
Second Line :
City : HOUSTON
State : TX
Zip : 77005-2100
Country : US
Telephone Number : 713-622-5625
Fax Number : 281-547-8865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 03/11/2019

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Directions to “ MS. MELISSA HARRELL STANDISH M.S.W.” Practice Location

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