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General NPI Number Information
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NPI Number | 1851621650
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Entity Type | Individual
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Provider Name | MELANIE SUMMERHAYES PSY.D
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Gender | Female
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Dates
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Enumeration Date | 12/30/2009
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 18811 HUNTINGTON ST STE 200
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-6003
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Country | US
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Telephone | 510-838-2242
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Fax | 628-243-5703
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Provider Business Mailing Address
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Address Line | 501 MAIN ST STE F-217
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-8106
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Country | US
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Telephone | 949-408-5712
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 32252
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 32252
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License Number State | CA
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