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NPI Code Detail

MEDICARE: MS. MELINDA WHITE MFT

MEDICARE:  MS. MELINDA  WHITE  MFT
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 TherapistLMFT28729CA

General Provider Information

NPI Number : 1962861443
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELINDA WHITE MFT
Provider Business Mailing Address
First Line : 1635 SOLANO AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94707-2108
Country : US
Telephone Number : 510-526-8208
Fax Number : 510-550-1991
Provider Business Practice Location Address
First Line : 1635 SOLANO AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94707-2108
Country : US
Telephone Number : 510-526-8208
Fax Number : 510-550-1991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2016
Last Update Date : 02/12/2016

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Directions to “ MS. MELINDA WHITE MFT” Practice Location

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