Melissa Ann Bullard in Traverse City - Clinical
Melissa Ann Bullard - NPI 1851435721
Melissa Ann Bullard is a Clinical in Traverse City, Michigan. Melissa Ann Bullard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Melissa Ann Bullard is 1851435721. The last update date is 2018-11-21.
Melissa Ann Bullard's current location address is 697 Hannah Ave Ste D, Traverse City, Michigan. You can contact this provider via phone number 2313923611 and fax number 8442131595. The mailing address for Melissa Ann Bullard is 697 Hannah Ave Ste D, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Ann Bullard |
|---|---|
| Address | 697 Hannah Ave Ste D, Traverse City, Michigan |
| Phone Number | 2313923611 |
| Fax Number | 8442131595 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1851435721 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2018-11-21 |
Provider Mailing Address Detail
| Address | 697 Hannah Ave Ste D |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496863399 |
| Phone Number | 2313923611 |
| Fax Number | 8442131595 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301012645 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 680B812170 | MI | BCBSM |
Post Comment/ Review Below
What is the unique provider identifier assigned to Melissa Ann Bullard?
The Melissa Ann Bullard has been issued the NPI (National Provider Identifier) 1851435721 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Melissa Ann Bullard's facilities are situated?
The facilities of Melissa Ann Bullard are physically located at the following address: 697 Hannah Ave Ste D, Traverse City, MI, 496863399.
What is the area of specialization for Melissa Ann Bullard, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Melissa Ann Bullard is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Melissa Ann Bullard receive its 1851435721 assignment from the Centers for Medicare & Medicaid Services?
The Melissa Ann Bullard was assigned its 1851435721 by the Centers for Medicare & Medicaid Services on 2007-02-16.
As of what date were the details pertaining to Melissa Ann Bullard last refreshed?
The information related to the Melissa Ann Bullard, including its address, specialty, and other relevant details, was last updated on 2018-11-21.
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