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NPI Code Detail

MEDICARE: MELISSA ANNE BEHRENDS-GELFMAN

MEDICARE: MELISSA ANNE BEHRENDS-GELFMAN
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
1106H00000XMarriage & Family TherapistLMFT146473CA

General Provider Information

NPI Number : 1821358094
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANNE BEHRENDS-GELFMAN
Provider Business Mailing Address
First Line : 12261 KYLE CT
Second Line :
City : VICTORVILLE
State : CA
Zip : 92392-7968
Country : US
Telephone Number : 760-605-1489
Fax Number :
Provider Business Practice Location Address
First Line : 2034 COTNER AVE STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-5664
Country : US
Telephone Number : 818-335-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2012
Last Update Date : 04/27/2024

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Directions to “ MELISSA ANNE BEHRENDS-GELFMAN ” Practice Location

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