Doctor Name: | DR. MELINDA CAROLE LOSEE |
NPI Number: | 1114078383 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 319 |
Business Practice Address: | 2 Rangeview Dr Cody, WY - 824148889 |
Business Phone Number: | 3075877877 |
Business Fax Number: | 3075877877 |
Mailing Address: | 2 Rangeview Dr, CODY |
State: | WY |
Postal Code: | 824148889 |
Phone Number: | 3075877877 |
Fax Number: | 3075877877 |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 319 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |