The Sullivan Center For Children

NPI 1275820680 - Psychologist - 103T00000X

NPI Details
NPI 1275820680
Enumeration Date 07/06/2011
Last Updated 07/06/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MELLISSA R MELLISSA
Position PSYCHOLOGIST
Phone (559) 271-1186
Fax (559) 271-8041
Practice Location
3443 WEST SHAW AVENUE
FRESNO CA, 93711, US
Phone (559) 271-1186
Fax (559) 271-8041
Business Location
3443 W SHAW AVE
FRESNO CA, 93711-3249, US
Phone (559) 271-1186
Fax (559) 271-8041
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number 103PC0700X
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According to our database, The Sullivan Center For Children NPI is 1275820680, taxonomy code is 103T00000X and license number is 103PC0700X, license state is located at California. The Sullivan Center For Children physically located at 3443 West Shaw Avenue, Fresno CA, 93711. NPI Number 1033115704 has the healthcare provider type.

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1275820680 NPI number is provided on an as is basis without warranty of any kind. 1275820680 is maintained by the National Plan & Provider Enumeration System. The contents of The Sullivan Center For Children are for informational purposes only.