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NPI Code Detail

MEDICARE: DR. MELISSA HARRISON PSY D

MEDICARE: DR. MELISSA HARRISON PSY 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
1103TC0700XClinical PsychologistPY5938FL

General Provider Information

NPI Number : 1932196201
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA HARRISON PSY D
Provider Business Mailing Address
First Line : 11555 HERON BAY BLVD STE 200
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-3362
Country : US
Telephone Number : 954-603-0077
Fax Number : 954-603-0401
Provider Business Practice Location Address
First Line : 11555 HERON BAY BLVD STE 200
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-3362
Country : US
Telephone Number : 954-603-0077
Fax Number : 954-603-0401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 01/31/2019

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Directions to “ DR. MELISSA HARRISON PSY D” Practice Location

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