Meloneze Blackman

NPI 1831318849 · on the registry since 2007

Practice

Address: 22777 W 11 Mile Rd
Southfield, MI 48033
Phone: (248) 358-0727
Fax: (248) 358-9394
Organisation at this address: Hfhs Center For Autism And Developmental Disabilities
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 183700000X
183700000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan