Doctor Name: | DR. MELISSA LEE BELANGER |
NPI Number: | 1083635155 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | PSY 18864 |
Business Practice Address: | 45-955 Kamehameha Hwy Ste 306 Kaneohe, HI - 967443292 |
Business Phone Number: | 8082477900 |
Business Fax Number: | 8082544526 |
Mailing Address: | Po Box 1451, KAILUA |
State: | HI |
Postal Code: | 967341451 |
Phone Number: | 8082477900 |
Fax Number: | 8082544526 |
NPI Enumeration Date: | 07/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY 18864 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |