Provider Demographics
NPI:1699827758
Name:ALLMAN, MELISSA ANDREA (PSYD)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:ANDREA
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 MISSION GORGE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-4019
Mailing Address - Country:US
Mailing Address - Phone:858-361-1580
Mailing Address - Fax:
Practice Address - Street 1:5959 MISSION GORGE RD STE 106
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-4019
Practice Address - Country:US
Practice Address - Phone:858-361-1580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY31593103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical