Melanie Corum
Psychologist, Clinical in Manassas, VA. Individual provider (NPI-1).
NPI number1053886937
StatusActive
Last updated in NPPESOct 8, 2018
Details
- NPI
- 1053886937
- Entity type
- Individual (NPI-1)
- Name
- Melanie Corum
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2018
- Last updated
- Oct 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 0810-006068 | VA | Yes |
Practice location
8140 Ashton AveManassas, VA 20109-5698
Phone 703-330-9933
Mailing address
Po Box 709Lorton, VA 22199-0709
Phone 703-957-8685
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