| Doctor Name: | MELISSA ANN ROONEY |
| NPI Number: | 1669634077 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PSY12420 |
| Business Practice Address: | 11344 Coloma Road #180 Gold River, CA - 95670 |
| Business Phone Number: | 9165521402 |
| Business Fax Number: | 9166317084 |
| Mailing Address: | 11344 Coloma Road, #180 GOLD RIVER |
| State: | CA |
| Postal Code: | 95670 |
| Phone Number: | 9165521402 |
| Fax Number: | 9166317084 |
| NPI Enumeration Date: | 06/26/2008 |
| NPI Last Update Date: | 06/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY12420 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |