| Doctor Name: | MELISSA SKAVARIL |
| NPI Number: | 1285006213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | OH1473925 |
| Business Practice Address: | 900 E Dayton Yellow Springs Rd Fairborn, OH - 453243912 |
| Business Phone Number: | 9378793611 |
| Business Fax Number: | 9378798190 |
| Mailing Address: | 900 E Dayton Yellow Springs Rd, FAIRBORN |
| State: | OH |
| Postal Code: | 453243912 |
| Phone Number: | 9378793611 |
| Fax Number: | 9378798190 |
| NPI Enumeration Date: | 10/29/2015 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | OH1473925 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |