Provider Demographics
NPI:1710604756
Name:IFIKCHYAN, MELINE (MASTER IN SOCIAL WOR)
Entity Type:Individual
Prefix:
First Name:MELINE
Middle Name:
Last Name:IFIKCHYAN
Suffix:
Gender:F
Credentials:MASTER IN SOCIAL WOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1271 BOYNTON ST APT 11
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4720
Mailing Address - Country:US
Mailing Address - Phone:818-433-0762
Mailing Address - Fax:
Practice Address - Street 1:1271 BOYNTON ST APT 11
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4720
Practice Address - Country:US
Practice Address - Phone:818-433-0762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program