Provider Demographics
NPI:1801033253
Name:BRANDER, MELANIE DAWN (CERTIFIED PEER SPECI)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:DAWN
Last Name:BRANDER
Suffix:
Gender:F
Credentials:CERTIFIED PEER SPECI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 WINTERS CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-1983
Mailing Address - Country:US
Mailing Address - Phone:615-477-8369
Mailing Address - Fax:931-906-0355
Practice Address - Street 1:1921 RANSOM PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3841
Practice Address - Country:US
Practice Address - Phone:931-905-0933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No172V00000XOther Service ProvidersCommunity Health Worker