Dr. Melissa Main Udell
Psychologist
988 S Fair Oaks Ave
Pasadena
, California 91105-2626
Dr. Melissa Main Udell
Psychologist
988 S Fair Oaks Ave
Pasadena
, California 91105-2626
(626) 827-6199
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Melissa Main Udell
- Po Box 411014
- Los Angeles, CA
- Zip : 90041-8014
- Phone : (626) 827-6199
Second Address
- Dr. Melissa Main Udell
- 988 S Fair Oaks Ave
- Pasadena, CA
- Zip : 91105-2626
- Phone : (626) 582-7980
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Is Dr. Melissa Main Udell a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | PSY20926 | CA |
| Y | 103T00000X | Psychologist | PSY20926 | CA |
National Provider Identifier
| NPI | 1003045527 |
|---|---|
| Provider Name | Dr. Melissa Main Udell |
| First Address | Los Angeles, CA 90041-8014 |
| Second Address | Pasadena, CA 91105-2626 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2009 |
| Last Update Date | 21/02/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.