Provider Demographics
NPI:1598795239
Name:THRASH, MELVIN LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:LAWRENCE
Last Name:THRASH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3315 CHANATE RD
Mailing Address - Street 2:SANTA ROSA VA MENTAL HEALTH CLINIC
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-1736
Mailing Address - Country:US
Mailing Address - Phone:707-570-3800
Mailing Address - Fax:707-570-3860
Practice Address - Street 1:3315 CHANATE RD
Practice Address - Street 2:SANTA ROSA VA MENTAL HEALTH CLINIC
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-1736
Practice Address - Country:US
Practice Address - Phone:707-570-3800
Practice Address - Fax:707-570-3860
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY1263002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry