Melissa Holly Prevo in Macdill Afb - Clinical
Melissa Holly Prevo - NPI 1487793998
Melissa Holly Prevo is a Clinical in Macdill Afb, Florida. Melissa Holly Prevo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Melissa Holly Prevo is 1487793998. The last update date is 2008-07-23.
Melissa Holly Prevo's current location address is 8415 Bayshore Blvd., Macdill Afb, Florida. You can contact this provider via phone number 8138279170. The mailing address for Melissa Holly Prevo is 8415 Bayshore Blvd., Macdill Afb, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Holly Prevo |
|---|---|
| Address | 8415 Bayshore Blvd., Macdill Afb, Florida |
| Phone Number | 8138279170 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1487793998 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2008-07-23 |
Provider Mailing Address Detail
| Address | 8415 Bayshore Blvd. |
|---|---|
| City | Macdill Afb |
| State | Florida (FL) |
| Post Code | 336211607 |
| Phone Number | 8138279170 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY 7425 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Melissa Holly Prevo by the Centers for Medicare & Medicaid Services?
The Melissa Holly Prevo has been issued the NPI (National Provider Identifier) 1487793998 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Melissa Holly Prevo?
The Melissa Holly Prevo is physically situated at 8415 Bayshore Blvd., in the city of Macdill Afb, state of FL, with the postal code 336211607.
What is Melissa Holly Prevo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Melissa Holly Prevo's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487793998 to Melissa Holly Prevo?
The Centers for Medicare & Medicaid Services originally issued the 1487793998 to Melissa Holly Prevo on 2007-02-05.
As of what date were the details related to Melissa Holly Prevo most recently updated or revised?
The information pertaining to Melissa Holly Prevo, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-23.