Henry S. Mellen PH.D.

NPI 1043428824 - Psychologist - 103T00000X

NPI Details
NPI 1043428824
Gender Male
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
851 FREMONT AVE
SUITE 107
LOS ALTOS CA, 94024-5698, US
Phone (650) 989-1256
Fax (650) 329-1579
Business Location
1488 HAMILTON AVE
PALO ALTO CA, 94301-3124, US
Phone (650) 714-4675
Fax (650) 329-1579
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number PSY 20759
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According to our database, Henry S. Mellen PH.D. NPI is 1043428824, taxonomy code is 103T00000X and license number is PSY 20759, license state is located at California. Henry S. Mellen PH.D. physically located at 851 Fremont Ave, Los Altos CA, 94024-5698. NPI Number Henry S. Mellen PH.D. has the Individual type.

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1043428824 NPI number is provided on an as is basis without warranty of any kind. 1043428824 is maintained by the National Plan & Provider Enumeration System. The contents of Henry S. Mellen PH.D. are for informational purposes only.