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433 Cabrillo Ave Davis CA 95616-0412 | |
| (916) 743-3870 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 433 Cabrillo Ave, Davis, California |
| Authorized Official Name and Position | Melissa Noel Grabau (PSYCHOLOGIST) |
| Authorized Official Contact | 9167433870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
433 Cabrillo Ave Davis CA 95616-0412 Ph: (916) 743-3870 | 433 Cabrillo Ave Davis CA 95616-0412 Ph: (916) 743-3870 |
| NPI Number | 1437565306 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/04/2024 |
| Medicare PECOS PAC ID | 2769609098 |
|---|---|
| Medicare Enrollment ID | O20140811001935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437565306 | NPI | - | NPPES |
| Provider Name | Melissa N Grabau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538385406 PECOS PAC ID: 7214195031 Enrollment ID: I20120307000499 |
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