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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992918148 | NPPES |
| Florida | Other | 75811 | BC/BS |
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