MEDICARE: MRS. MELISSA JEAN STRUYF

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	104100000X	Social Worker		CA

General Provider Information

NPI Number	:	1386707149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA JEAN STRUYF

Provider Business Mailing Address
First Line	:	55 INDEPENDENCE CIR STE 104
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95973-4909
Country	:	US
Telephone Number	:	530-804-3122
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 INDEPENDENCE CIR STE 104
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95973-4909
Country	:	US
Telephone Number	:	530-804-3122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	05/11/2026

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