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NPI Code Detail

MEDICARE: DR. SHEYDA MELKONIAN PSY.D.

MEDICARE: DR. SHEYDA MELKONIAN PSY.D.
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 PsychologistPSY21883CA

General Provider Information

NPI Number : 1841403235
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHEYDA MELKONIAN PSY.D.
Provider Business Mailing Address
First Line : 11526 BAIRD AVE
Second Line :
City : PORTER RANCH
State : CA
Zip : 91326-1908
Country : US
Telephone Number : 818-523-9394
Fax Number :
Provider Business Practice Location Address
First Line : 15233 VENTURA BLVD STE 1208
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91403-2271
Country : US
Telephone Number : 818-523-9394
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 01/05/2021

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