Melissa Stallard, PSYD | |
9479 Haven Ave, Rancho Cucamonga, CA 91730-5844 | |
(909) 908-6285 | |
Not Available |
Full Name | Melissa Stallard |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 9479 Haven Ave, Rancho Cucamonga, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952034290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | PSY33306 (California) | Primary |
Entity Name | Gunn Psychological Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669734604 PECOS PAC ID: 2163756032 Enrollment ID: O20190626002160 |
Mailing Address | Practice Location Address |
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Melissa Stallard, PSYD 5887 Seminole Way, Fontana, CA 92336-5688 Ph: () - | Melissa Stallard, PSYD 9479 Haven Ave, Rancho Cucamonga, CA 91730-5844 Ph: (909) 908-6285 |
Dr. Lauri Lee Rogers, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9089 Baseline Rd, Suite 200, Rancho Cucamonga, CA 91730 Phone: 909-980-3567 Fax: 909-989-3932 | |
Victor Cordova, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 9033 Base Line Rd Ste A, Rancho Cucamonga, CA 91730 Phone: 909-922-2442 Fax: 909-999-2377 | |
Dr. Scott Su, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730 Phone: 909-247-5992 | |
Dr. Krystle Rose Frazier-philo, ED.D. Psychologist Medicare: Medicare Enrolled Practice Location: 9600 Center Ave Ste 160, Rancho Cucamonga, CA 91730 Phone: 800-434-8923 | |
Veronica Nakla, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9377 Haven Ave Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-906-1505 | |
Dr. Stacey Waring, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9500 Etiwanda Ave, Rancho Cucamonga, CA 91739 Phone: 909-463-5179 | |
Dr. Jerry M Goffman, PHD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8253 White Oak Ave, Rancho Cucamonga, CA 91730 Phone: 951-312-1041 |