MEDICARE: MELISSA MURREN, PSYD: PSYCHOLOGICAL SERVICES, PC

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	:	1467222851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELISSA MURREN, PSYD: PSYCHOLOGICAL SERVICES, PC

Provider Business Mailing Address
First Line	:	11712 MOORPARK ST STE 207
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-2164
Country	:	US
Telephone Number	:	818-572-9880
Fax Number	:	818-338-2192

Provider Business Practice Location Address
First Line	:	11712 MOORPARK ST STE 207
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-2164
Country	:	US
Telephone Number	:	818-572-9880
Fax Number	:	818-338-2192

Authorized Official
Title or Position	:	PSYCHOLOGIST/OWNER
Name	:	DR. MELISSA AIMEE MURREN
Credential	:	PSYD
Telephone Number	:	818-572-9880

Provider Enumeration Date	:	01/05/2024
Last Update Date	:	01/05/2024

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