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NPI Code Detail

MEDICARE: MELISSA ANN DEPA PH.D.

MEDICARE: MELISSA ANN DEPA PH.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 PsychologistPY1007NV

General Provider Information

NPI Number : 1114379518
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANN DEPA PH.D.
Provider Business Mailing Address
First Line : 3067 E WARM SPRINGS RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3750
Country : US
Telephone Number : 702-650-6508
Fax Number :
Provider Business Practice Location Address
First Line : 3067 E WARM SPRINGS RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3750
Country : US
Telephone Number : 702-650-6508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2016
Last Update Date : 07/22/2021

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Directions to “ MELISSA ANN DEPA PH.D.” Practice Location

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