Magallanes, Melissa

Magallanes, Melissa is an individual health care provider with primary practice located at 2105 Foothill Blvd Ste B266 , La Verne CA 91750-2901. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Magallanes, Melissa can be contacted via phone (626) 408-0919.

Contact Information

Primary practice address
2105 Foothill Blvd Ste B266 La Verne CA 91750-2901
Phone: (626) 408-0919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY34292 California

Profile Details

NPI number 1376068148
LBN Legal business name Magallanes, Melissa
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2017
Last updated Nov 22nd, 2023 - about last year

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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