| NPI | 1982734984 | 
|---|---|
| Former Name | MELODY HUSKEY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: ID PSY-202392)  | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ID PSY-202392)  | 
| Enumeration Date | 2007-03-07 | 
| Last Update Date | 2014-07-09 |