Provider Demographics
NPI:1770033896
Name:MELINDA Z. AASKOV, PSY.D. MARRIAGE AND FAMILY THERAPY, INC
Entity Type:Organization
Organization Name:MELINDA Z. AASKOV, PSY.D. MARRIAGE AND FAMILY THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MFT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:AASKOV
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, MFT
Authorized Official - Phone:714-501-1650
Mailing Address - Street 1:17821 17TH ST STE 280
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-2171
Mailing Address - Country:US
Mailing Address - Phone:714-501-1650
Mailing Address - Fax:
Practice Address - Street 1:17821 17TH ST STE 280
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-2171
Practice Address - Country:US
Practice Address - Phone:714-501-1650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC37532106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty