Melissa Contractor, MFT

Individual provider Active NPI Marriage & Family Therapist · Simi Valley, CA

NPI 1669739181 · NPPES record last updated Apr 22, 2012

Key facts

NPI
1669739181
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC 29000 (CA)
Practice address
4909 Ladonia St
Simi Valley, CA 93063-1413
Phone
(805) 813-2090
Fax
(805) 527-6154
NPI assigned
Apr 22, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC 29000CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 29000 CA Yes

Addresses

Primary practice location

4909 Ladonia St
Simi Valley, CA 93063-1413

Mailing address

4909 Ladonia St
Simi Valley, CA 93063-1413
Phone (805) 813-2090

Other providers in Simi Valley, CA

All providers in Simi Valley, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.