1982898748 NPI NUMBER - MELISSA LEE CHISARI

Summary

NPI Number 1982898748
Entity Type Code Individual
Provider Legal Name MELISSA LEE CHISARI
Provider Business Practice Location Address 21545 CENTRE POINTE PKWY
SANTA CLARITA, CA
ZIP 91350
Practice Location Phone Number (661) 259-9439
Provider Taxonomy Code 101YM0800X - Counselor
Specialization Mental Health
Provider Enumeration Date 9/4/2007
Last Update Date 9/12/2007

Detailed Information

NPI Number 1982898748 is assigned to an individual registered under the provider name MELISSA LEE CHISARI .

The NPPES NPI record indicates the provider is a female.

The provider is physically located at:

21545 CENTRE POINTE PKWY
SANTA CLARITA, CA
ZIP 91350-947
Phone: (661) 259-9439

The enumeration date for this NPI number is 9/4/2007 and was last updated on 9/12/2007 .

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License Number State
1 101YM0800X Counselor Mental Health View Code

Other (Legacy) Identifiers

The following legacy identifiers for this provider are available:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer

NPI Record

No. Field Name Field Value
1 NPI 1982898748
2 Entity Type Code 1
3 Provider Last Name Legal Name CHISARI
4 Provider First Name MELISSA
5 Provider Middle Name LEE
6 Provider First Line Business Practice Location Address 21545 CENTRE POINTE PKWY
7 Provider Business Practice Location Address City Name SANTA CLARITA
8 Provider Business Practice Location Address State Name CA
9 Provider Business Practice Location Address Postal Code 913502947
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 6612599439
12 Provider Enumeration Date 9/4/2007
13 Last Update Date 9/12/2007
14 Provider Gender Code F
15 Healthcare Provider Taxonomy Code 1 101YM0800X
16 Healthcare Provider Primary Taxonomy Switch 1 Y
17 Is Sole Proprietor N

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This page was last updated on: 5/14/2013
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