| Melina Scally Psyd Llc | |
|
1506 N 15th St Tampa FL 33605-5044 | |
| (813) 360-0741 | |
| (813) 241-2910 |
| Full Name | Melina Scally Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1506 N 15th St, Tampa, Florida |
| Authorized Official Name and Position | Melina Scally (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4074328743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melina Scally Psyd Llc 1815 Twilight Tides St Tarpon Springs FL 34689-5795 Ph: (813) 360-0741 | Melina Scally Psyd Llc 1506 N 15th St Tampa FL 33605-5044 Ph: (813) 360-0741 |
| NPI Number | 1306291067 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/02/2016 |
| Medicare PECOS PAC ID | 8527354273 |
|---|---|
| Medicare Enrollment ID | O20160907001396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306291067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY9480 (Florida) | Primary |
| Provider Name | Melina Scally |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003171257 PECOS PAC ID: 9436445186 Enrollment ID: I20160907001474 |
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