Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | 1-08-4249 | |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 4446 | NC |
NPI | 1124490651 |
---|---|
Provider Name | Dr. Melanie Hope Bachmeyer-Lee |
First Address | Wilmington, NC 28403-2937 |
Second Address | Wilmington, NC 28403-2937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2015 |
Last Update Date | 27/10/2020 |