Provider Demographics
NPI:1093052938
Name:AASKOV, MELINDA ZACCAGNINO (PSYD, MFT)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:ZACCAGNINO
Last Name:AASKOV
Suffix:
Gender:F
Credentials:PSYD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 E CHAPMAN AVE # 204
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-1601
Mailing Address - Country:US
Mailing Address - Phone:714-501-1650
Mailing Address - Fax:714-744-0612
Practice Address - Street 1:606 E CHAPMAN AVE # 204
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-1601
Practice Address - Country:US
Practice Address - Phone:714-501-1650
Practice Address - Fax:714-744-0612
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC37532106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist