| Doctor Name: | DR. MELISSA MALAVE |
| NPI Number: | 1770956211 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | UNLICENSED |
| Business Practice Address: | 21425 Spring St # A Psychological Services Union Grove, WI - 531829707 |
| Business Phone Number: | 2628786048 |
| Business Fax Number: | |
| Mailing Address: | 1621 N Kildare Ave, Apt B1 CHICAGO |
| State: | IL |
| Postal Code: | 606394870 |
| Phone Number: | 7734580886 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2015 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | UNLICENSED |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |