| Organization Name: | MELISSA L BELANGER PSYD LLC |
| NPI Number: | 1205121373 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELISSA LEE BELANGER (PRESIDENT) |
| Mailing Address: | 45-955 Kamehameha Hwy Ste 306 Kaneohe |
| State: | HI US |
| Postal Code: | 967443292 |
| Phone Number: | 8082477900 |
| Fax Number: | 8082544526 |
| NPI Enumeration Date: | 06/16/2011 |
| NPI Last Update Date: | 06/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | PSY 753 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |