Provider Demographics
NPI:1033318498
Name:VALLE, MELISSA M (MS)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:M
Last Name:VALLE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:768 CALIFORNIA DR
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-4142
Mailing Address - Country:US
Mailing Address - Phone:562-290-7034
Mailing Address - Fax:
Practice Address - Street 1:201 W 4TH ST STE 205
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4707
Practice Address - Country:US
Practice Address - Phone:909-993-8815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist