Dr. Melody Millando-Wirtenson, PH.D.
Psychologist, Clinical in Northport, NY. Individual provider (NPI-1).
NPI number1285882894
StatusActive
Last updated in NPPESDec 13, 2010
Details
- NPI
- 1285882894
- Entity type
- Individual (NPI-1)
- Name
- Dr. Melody Millando-Wirtenson
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2008
- Last updated
- Dec 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 68-017770 | NY | Yes |
Other names
- Melody Millando (Former Name)
Practice location
79 Middleville RdNorthport Vamc Psychology Service (116b)
Northport, NY 11768-2200
Phone 631-261-4400 · Fax 631-266-6086
Mailing address
79 Middleville RdNorthport Vamc Psychology Service (116b)
Northport, NY 11768-2200
Phone 631-261-4400 · Fax 631-266-6086
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