MEDICARE: DR. MELIS ALKIN, CLINICAL PSYCHOLOGIST, INC.

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
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1235998998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. MELIS ALKIN, CLINICAL PSYCHOLOGIST, INC.

Provider Business Mailing Address
First Line	:	1200 AVIATION BLVD STE 102
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-4063
Country	:	US
Telephone Number	:	424-254-8292
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 AVIATION BLVD STE 102
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-4063
Country	:	US
Telephone Number	:	424-254-8292
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MELIS ALKIN
Credential	:	PSYD
Telephone Number	:	424-254-8292

Provider Enumeration Date	:	03/15/2024
Last Update Date	:	03/15/2024

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