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Contact Information

MELODY K LORENZO
404 W MAIN ST
KELSO, WA98626-1118
 Phone: 360-423-2806
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MELODY K LORENZO · (Female)

NPI Number 1073083580
Status Active
Credentials
Entity Individual
Enumeration date 11/27/2018
Last updated 11/27/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # CP00001048
  • WA Medicaid 1801018528
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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