Provider Information for 1326676610
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MELISSA MENDEZ LPC
Sex: Female
NPI: 1326676610
Last Updated: 2020-03-31
Certification Date: 2020-03-31
Certification Date: 2020-03-31
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1326676610 | ||||||||||||||
| Enumeration Date | 2020-03-31 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 2716 NW 189TH ST EDMOND, OK 73012-0015 United States Phone: 325-665-0750 | Fax: | ||||||||||||||
| Primary Practice Address | 2716 NW 189TH ST EDMOND, OK 73012-0015 United States Phone: 325-665-0750 | Fax: | ||||||||||||||
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