Melody Ann Fortenberry in Dallas - Clinical Child & Adolescent
Melody Ann Fortenberry - NPI 1356417877
Melody Ann Fortenberry is a Clinical Child & Adolescent in Dallas, Texas. Melody Ann Fortenberry practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Melody Ann Fortenberry is 1356417877. The last update date is 2007-07-08.
Melody Ann Fortenberry's current location address is 5757 Alpha Rd, Dallas, Texas. You can contact this provider via phone number 9724589890 and fax number 9724589890. The mailing address for Melody Ann Fortenberry is 5757 Alpha Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melody Ann Fortenberry |
|---|---|
| Address | 5757 Alpha Rd, Dallas, Texas |
| Phone Number | 9724589890 |
| Fax Number | 9724589890 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1356417877 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5757 Alpha Rd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752404601 |
| Phone Number | 9724589890 |
| Fax Number | 9724589890 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 22645 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00D39R | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Melody Ann Fortenberry by the Centers for Medicare & Medicaid Services?
The Melody Ann Fortenberry has been assigned the NPI (National Provider Identifier) 1356417877 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Melody Ann Fortenberry?
The Melody Ann Fortenberry is situated at 5757 Alpha Rd, in the city of Dallas, state of TX, with the zip code 752404601.
What is Melody Ann Fortenberry's area of expertise and its corresponding taxonomy classification?
The Melody Ann Fortenberry's field of specialization is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1356417877 to Melody Ann Fortenberry?
The Centers for Medicare & Medicaid Services assigned the 1356417877 to Melody Ann Fortenberry on 2006-11-27.
As of what date was the information regarding Melody Ann Fortenberry, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Melody Ann Fortenberry, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY