Moorehead, Melodie Kay

Moorehead, Melodie Kay is an sole proprietor health care provider with primary practice located at 1201 E Broward Blvd , Fort Lauderdale FL 33301-2133. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moorehead, Melodie Kay can be contacted via phone (954) 444-1445.

Contact Information

Primary practice address
1201 E Broward Blvd Fort Lauderdale FL 33301-2133
Phone: (954) 444-1445
Fax: (954) 779-7994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY4324 Florida

Profile Details

NPI number 1992918148
LBN Legal business name Moorehead, Melodie Kay
Credentials PH.D.,ABPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Jul 15th, 2021 - about 3 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 1992918148 NPPES
Florida Other 75811 BC/BS

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