Sample, Melina Marie

Sample, Melina Marie is an sole proprietor health care provider with primary practice located at 210 S Race St , Mishawaka IN 46544-2032. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sample, Melina Marie can be contacted via phone (574) 404-6755.

Contact Information

Primary practice address
210 S Race St Mishawaka IN 46544-2032
Phone: (574) 404-6755
Fax: (833) 783-4269
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20043242A Indiana

Profile Details

NPI number 1861049595
LBN Legal business name Sample, Melina Marie
Credentials PHD, HSPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2019
Last updated Aug 19th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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