DR. MELISSA DIANE BOUDIN PSY.D. NPI 1053752634

NPI Information

DR. Melissa Diane Boudin, PSY.D. is a clinical psychologist in Pacoima, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Melissa Diane Boudin, PSY.D. NPI is 1053752634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12450 VAN NUYS BLVD
SUITE 200
PACOIMA, CA
ZIP 91331-391
Phone: (818) 896-1161
Fax: (818) 896-5069

The enumeration date for this NPI number is 7/11/2013 and was last updated on 2/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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