Provider Demographics
NPI:1679066153
Name:MELISSA STRACHAN, PSY.D., LLC
Entity type:Organization
Organization Name:MELISSA STRACHAN, PSY.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRACHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-486-6558
Mailing Address - Street 1:1278 JUNGERMANN RD STE E
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-6964
Mailing Address - Country:US
Mailing Address - Phone:636-486-6558
Mailing Address - Fax:636-244-3084
Practice Address - Street 1:1278 JUNGERMANN RD STE E
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-6964
Practice Address - Country:US
Practice Address - Phone:636-486-6558
Practice Address - Fax:636-244-3084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty