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NPI Code Detail

MEDICARE: DR. MELISSA HOPE ROSENBERG PEACE PHD

MEDICARE: DR. MELISSA HOPE ROSENBERG PEACE PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY32617CA

General Provider Information

NPI Number : 1649552431
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA HOPE ROSENBERG PEACE PHD
Provider Business Mailing Address
First Line : 490 N GRAPE ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3079
Country : US
Telephone Number : 760-975-9939
Fax Number :
Provider Business Practice Location Address
First Line : 490 N GRAPE ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3079
Country : US
Telephone Number : 760-975-9939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2011
Last Update Date : 01/30/2026

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