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NPI Code Detail

MEDICARE: CATHERINE A MELODY MS

MEDICARE: CATHERINE A MELODY MS
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 TherapistMFC32448CA

General Provider Information

NPI Number : 1922136704
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE A MELODY MS
Provider Business Mailing Address
First Line : 11060 MISSISSIPPI AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-5745
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1433 S ROBERTSON BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-3414
Country : US
Telephone Number : 310-785-2121
Fax Number : 310-553-6052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/08/2007

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Directions to “ CATHERINE A MELODY MS” Practice Location

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