Provider Demographics
NPI:1407982309
Name:HIMMELMAN, MELISSA C (AUD)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:C
Last Name:HIMMELMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 W ADAMS BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-2505
Mailing Address - Country:US
Mailing Address - Phone:213-748-5481
Mailing Address - Fax:213-749-1651
Practice Address - Street 1:806 W ADAMS BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-2505
Practice Address - Country:US
Practice Address - Phone:213-748-5481
Practice Address - Fax:213-749-1651
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1763231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist