| Melissa L Belanger Psyd Llc | |
|
45-955 Kamehameha Hwy Ste 306 Kaneohe HI 96744-3292 | |
| (808) 247-7900 | |
| (808) 254-4526 |
| Full Name | Melissa L Belanger Psyd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 45-955 Kamehameha Hwy Ste 306, Kaneohe, Hawaii |
| Authorized Official Name and Position | Melissa Lee Belanger (PRESIDENT) |
| Authorized Official Contact | 8082477900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa L Belanger Psyd Llc Po Box 1451 Kailua HI 96734-1451 Ph: (808) 247-7900 | Melissa L Belanger Psyd Llc 45-955 Kamehameha Hwy Ste 306 Kaneohe HI 96744-3292 Ph: (808) 247-7900 |
| NPI Number | 1205121373 |
|---|---|
| Provider Enumeration Date | 06/16/2011 |
| Last Update Date | 06/16/2011 |
| Medicare PECOS PAC ID | 8426227125 |
|---|---|
| Medicare Enrollment ID | O20110815000676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205121373 | NPI | - | NPPES |
| 55627701 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY 753 (Hawaii) | Primary |
| Provider Name | Melissa L Belanger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083635155 PECOS PAC ID: 8426036872 Enrollment ID: I20040712000710 |
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