| Melissa L Del Rosario Llc | |
|
14135 N Cedarburg Rd Mequon WI 53097-1416 | |
| (262) 377-2006 | |
| Not Available |
| Full Name | Melissa L Del Rosario Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 14135 N Cedarburg Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Melissa Del Rosario (CHILD AND FAMILY THERAPIST) |
| Authorized Official Contact | 8155574120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa L Del Rosario Llc 14135 N Cedarburg Rd Mequon WI 53097-1416 Ph: (262) 377-2006 | Melissa L Del Rosario Llc 14135 N Cedarburg Rd Mequon WI 53097-1416 Ph: (262) 377-2006 |
| NPI Number | 1528539657 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528539657 | NPI | - | NPPES |
| 12134724 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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