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General NPI Number Information
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NPI Number | 1659268811
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Entity Type | Organization
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Legal Business Name | MELISSA JULIAN, PHD PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 11850 WILSHIRE BLVD STE 200A
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City | LOS ANGELES
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State | CA
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Zip | 90025-6629
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Country | US
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Telephone | 310-869-4112
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Fax |
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Provider Business Mailing Address
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Address Line | 11850 WILSHIRE BLVD STE 200A
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City | LOS ANGELES
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State | CA
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Zip | 90025-6629
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Country | US
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Telephone | 310-869-4112
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA JULIAN
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Credential | PHD
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Telephone | 310-869-4112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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