Provider Demographics
NPI:1598099459
Name:FOYNES, MELISSA MING (PHD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MING
Last Name:FOYNES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5015 SOUTHPARK DR STE 250
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-7736
Mailing Address - Country:US
Mailing Address - Phone:919-808-1127
Mailing Address - Fax:919-808-1127
Practice Address - Street 1:5015 SOUTHPARK DR STE 250
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7736
Practice Address - Country:US
Practice Address - Phone:919-808-1127
Practice Address - Fax:919-808-1127
Is Sole Proprietor?:No
Enumeration Date:2009-09-25
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10409103TC0700X
NC5349103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical