Fredette, Melissa

Fredette, Melissa is an sole proprietor health care provider with primary practice located at 101 Bodin Cir 60 Mdg/Sgop, Travis Afb CA 94535-1809. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Fredette, Melissa can be contacted via phone (847) 302-3537.

Contact Information

Primary practice address
101 Bodin Cir 60 Mdg/Sgop Travis Afb CA 94535-1809
Phone: (847) 302-3537
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2156 Oregon
Behavioral Health & Social Service Providers / Psychologist 103T00000X 9838 Massachusetts

Profile Details

NPI number 1124323118
LBN Legal business name Fredette, Melissa
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2011
Last updated Jul 31st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124323118 NPPES
Oregon MEDICAID 164936
Oregon Other R0000WDBCH

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