Provider Demographics
NPI:1700046448
Name:GRESSNER, MELISSA (PSYD)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:GRESSNER
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 1:1855 S PEARL ST
Mailing Address - Street 2:SUITE #10
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3161
Mailing Address - Country:US
Mailing Address - Phone:720-281-8056
Mailing Address - Fax:
Practice Address - Street 1:1855 S PEARL ST
Practice Address - Street 2:SUITE #10
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3161
Practice Address - Country:US
Practice Address - Phone:720-281-8056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2012-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3671103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical