Michael W Mellon
Clinical Psychologist Clinical Child & Adolescent Psychologist
3333 Burnet Avenue Ml 5021
Cincinnati
, Ohio 45229-3039
Michael W Mellon
Clinical Psychologist Clinical Child & Adolescent Psychologist
3333 Burnet Avenue Ml 5021
Cincinnati
, Ohio 45229-3039
(513) 636-3677
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Michael W Mellon
- 3333 Burnet Avenue Ml 3015
- Cincinnati, OH
- Zip : 45229-3039
- Fax : (513) 636-3677
- Phone : (513) 636-4336
Second Address
- Michael W Mellon
- 3333 Burnet Avenue Ml 5021
- Cincinnati, OH
- Zip : 45229-3039
- Fax : (513) 636-2511
- Phone : (513) 636-4225
Reviews
FAQs
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In what state does Michael W Mellon practice in?
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What is Michael W Mellon ’s gender?
Is Michael W Mellon a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 6611 | OH |
| Y | 103TC0700X | Clinical Psychologist | 6611 | OH |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | LP4195 | MN |
National Provider Identifier
| NPI | 1023088804 |
|---|---|
| Provider Name | Michael W Mellon |
| First Address | Cincinnati, OH 45229-3039 |
| Second Address | Cincinnati, OH 45229-3039 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2006 |
| Last Update Date | 31/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 680011889 | RAILROAD MEDICARE (01) | MN |
| 811579600 | (05) | MN |
| R01837 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.