National Provider Identifier
Melody A Dejohn
Melody A Dejohn is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Mayville, NY and a listed phone number of (716) 753-4105.
Profile Overview
- NPI
- 1043351935
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- February 12, 2007
- Last Updated
- February 15, 2019
Practice Location
- 99 S Erie St
- Mayville, NY 14757
Phone: (716) 753-4105
Mailing Address
- 2 Academy St
- Rm 201
- Mayville, NY 14757-1050
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1043351935
- Entity Type
- Individual
- Last Name
- Dejohn
- First Name
- Melody
- Middle Name
- A
- Mailing Street Address
- 2 Academy St
- Mailing Address Line 2
- Rm 201
- Mailing City
- Mayville
- Mailing State
- NY
- Mailing ZIP Code
- 14757-1050
- Mailing Country
- US
- Mailing Phone
- (716) 753-4230
- Mailing Fax
- (716) 753-4230
- Practice Street Address
- 99 S Erie St
- Practice City
- Mayville
- Practice State
- NY
- Practice ZIP Code
- 14757
- Practice Country
- US
- Practice Phone
- (716) 753-4105
- Enumeration Date
- February 12, 2007
- Last Updated
- February 15, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)