Mccoy, Melvin

Mccoy, Melvin is an individual health care provider with primary practice located at 402 Peake St , Lake Charles LA 70601-6048. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mccoy, Melvin can be contacted via phone (219) 852-9566.

Contact Information

Primary practice address
402 Peake St Lake Charles LA 70601-6048
Phone: (219) 852-9566
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1548839020
LBN Legal business name Mccoy, Melvin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2021
Last updated Jun 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548839020 NPPES
Pennsylvania MEDICAID 863882825

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