Mahon, Melissa

Mahon, Melissa is an individual health care provider with primary practice located at 28 S 5Th St , Geneva IL 60134-2111. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mahon, Melissa can be contacted via phone (847) 287-0916.

Contact Information

Primary practice address
28 S 5Th St Geneva IL 60134-2111
Phone: (847) 287-0916
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-008253 Illinois

Profile Details

NPI number 1932304102
LBN Legal business name Mahon, Melissa
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Nov 10th, 2020 - about 5 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 1932304102 NPPES
Illinois Other 04515143 BCBS#

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