| Meland-lewis Psychological Services Pllc | |
|
22 North Rd Bloomingburg NY 12721-4687 | |
| (845) 978-2758 | |
| Not Available |
| Full Name | Meland-lewis Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 22 North Rd, Bloomingburg, New York |
| Authorized Official Name and Position | Kelli Ann Meland-lewis (SOLE MEMBER) |
| Authorized Official Contact | 8459782758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meland-lewis Psychological Services Pllc 32 Schrempp Ln Pine Bush NY 12566-5735 Ph: (845) 978-2758 | Meland-lewis Psychological Services Pllc 22 North Rd Bloomingburg NY 12721-4687 Ph: (845) 978-2758 |
| NPI Number | 1326472903 |
|---|---|
| Provider Enumeration Date | 08/30/2013 |
| Last Update Date | 08/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326472903 | NPI | - | NPPES |
| 03133575 | Medicaid | NY | |
| A300000977 | Other | NY | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 017814 (New York) | Primary |