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NPI Code Detail

MEDICARE: DR. MELISSA STEWART-BURET

MEDICARE: DR. MELISSA STEWART-BURET
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 Psychologist32834CA

General Provider Information

NPI Number : 1750053625
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA STEWART-BURET
Provider Business Mailing Address
First Line : 10591 CAMINITO ALVAREZ
Second Line :
City : SAN DIEGO
State : CA
Zip : 92126-5856
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3350 LA JOLLA VILLAGE DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92161-0002
Country : US
Telephone Number : 858-552-8585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2021
Last Update Date : 09/29/2021

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Directions to “ DR. MELISSA STEWART-BURET ” Practice Location

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