Doctor Name: | TAUNYA MARIE QUEEN-MELENDEZ |
NPI Number: | 1104098599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D., L.P.C. |
License Number: | 6728 |
Business Practice Address: | 415 E Holloman Ave Ahoskie, NC - 279102314 |
Business Phone Number: | 2523328700 |
Business Fax Number: | |
Mailing Address: | 315 South St W, AHOSKIE |
State: | NC |
Postal Code: | 279103337 |
Phone Number: | 2523950823 |
Fax Number: | 2523328700 |
NPI Enumeration Date: | 03/26/2008 |
NPI Last Update Date: | 03/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6728 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |