Melissa Mahon is a Clinical in Batavia, Illinois. Melissa Mahon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Melissa Mahon is 1932304102. The last update date is 2020-11-10.
Melissa Mahon's current location address is 863 Ravinia Ct, Batavia, Illinois. You can contact this provider via phone number 8472870916. The mailing address for Melissa Mahon is 863 Ravinia Ct, Batavia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Mahon |
|---|---|
| Address | 863 Ravinia Ct, Batavia, Illinois |
| Phone Number | 8472870916 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1932304102 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2020-11-10 |
Provider Mailing Address Detail
| Address | 863 Ravinia Ct |
|---|---|
| City | Batavia |
| State | Illinois (IL) |
| Post Code | 605103213 |
| Phone Number | 8472870916 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-008253 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4515143 | IL | BCBS# |
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What is the unique 10-digit identifier code issued to Melissa Mahon by the Centers for Medicare & Medicaid Services?
The Melissa Mahon has been assigned the NPI (National Provider Identifier) 1932304102 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Melissa Mahon?
The Melissa Mahon is situated at 863 Ravinia Ct, in the city of Batavia, state of IL, with the zip code 605103213.
What is the Melissa Mahon's area of specialization and corresponding taxonomy classification?
The Melissa Mahon's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1932304102 to Melissa Mahon?
The Centers for Medicare & Medicaid Services assigned the 1932304102 to Melissa Mahon on 2007-06-18.
As of what date were the Melissa Mahon's details last updated?
The information pertaining to the Melissa Mahon, including its address, specialty, and other details, was most recently updated on 2020-11-10.
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