Healthcare Provider Details

I. General information

NPI: 1245034149
Provider Name (Legal Business Name): CLAUDIA ALEXIA MELARA ED.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALEXIA MELARA ED.D.

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 N GRIFFITH PARK DR
BURBANK CA
91506-1424
US

IV. Provider business mailing address

1121 N GRIFFITH PARK DR
BURBANK CA
91506-1424
US

V. Phone/Fax

Practice location:
  • Phone: 818-414-1634
  • Fax:
Mailing address:
  • Phone: 818-414-1634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLEP4627
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: